Ms Nettie Sue Hurst, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Ridgely, Tennessee. She went to Vanderbilt University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Citizens Of Lake County For Health Care Inc and her current practice location is
130 N Main St, Ridgely, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 264-5518.
Ms Nettie Sue Hurst is licensed to practice in Tennessee (license number 0000005051) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689667305.
Provider's Profile
| Full Name | Ms Nettie Sue Hurst |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 130 N Main St, Ridgely, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Nettie Sue Hurst attended and graduated from Vanderbilt University School Of Medicine in 2000
NPI Data:
- NPI Number: 1689667305
- Provider Enumeration Date: 08/28/2005
- Last Update Date: 08/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 2860418555
- Enrollment ID: I20051021000415
Medical Identifiers
Medical identifiers for Ms Nettie Sue Hurst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689667305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0000005051 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Citizens Of Lake County For Health Care Inc | 6507052073 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Nettie Sue Hurst allows following entities to bill medicare on her behalf.
| Entity Name | Citizens Of Lake County For Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841311529
PECOS PAC ID: 6507052073
Enrollment ID: O20110718000034 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nettie Sue Hurst is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Nettie Sue Hurst, NURSE PRACTITIONER
130 N Main St,
Ridgely, TN 38080-1317
Ph: (731) 264-5518 | Ms Nettie Sue Hurst, NURSE PRACTITIONER
130 N Main St,
Ridgely, TN 38080-1317
Ph: (731) 264-5518 |
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