Regina K Welborn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hixson, Tennessee. Her current practice location is
2051 Hamill Rd, Hixson, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 495-7100.
Regina K Welborn is licensed to practice in Tennessee (license number APN12470) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356480883.
Provider's Profile
| Full Name | Regina K Welborn |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2051 Hamill Rd, Hixson, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356480883
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 06/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618076746
- Enrollment ID: I20070629000532
Medical Identifiers
Medical identifiers for Regina K Welborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356480883 | NPI | - | NPPES |
| 3638644 | Medicaid | TN | |
| P00398193 | Other | | RAILROAD MEDICARE |
| 4146597 | Other | | BCBS OF TN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN80401 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APN12470 (Tennessee) | Primary |
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. Regina K Welborn allows following entities to bill medicare on her behalf.
| Entity Name | American Anesthesiology Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364 |
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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. Regina K Welborn 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 |
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Regina K Welborn, CRNA
Po Box 535575,
Atlanta, GA 30353-5595
Ph: (865) 342-8900 | Regina K Welborn, CRNA
2051 Hamill Rd,
Hixson, TN 37343
Ph: (423) 495-7100 |
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