Selena Renee Pevahouse, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clifton, Tennessee. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Truhealth, Llc and her current practice location is
110 Miller Drive, Clifton, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 607-1007.
Selena Renee Pevahouse is licensed to practice in Tennessee (license number 26817) 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 1063052116.
Provider's Profile
| Full Name | Selena Renee Pevahouse |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 110 Miller Drive, Clifton, 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:
- Selena Renee Pevahouse graduated from nursing school in 2019
NPI Data:
- NPI Number: 1063052116
- Provider Enumeration Date: 01/07/2020
- Last Update Date: 01/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 1153759436
- Enrollment ID: I20200319002943
Medical Identifiers
Medical identifiers for Selena Renee Pevahouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063052116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26817 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Truhealth, Llc | 2163653478 | 32 |
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. Selena Renee Pevahouse allows following entities to bill medicare on her behalf.
| Entity Name | Truhealth, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063843951
PECOS PAC ID: 2163653478
Enrollment ID: O20140331001471 |
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| Entity Name | Behavioral Healthcare Center At Columbia, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891000923
PECOS PAC ID: 8820280696
Enrollment ID: O20210106003115 |
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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. Selena Renee Pevahouse 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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Selena Renee Pevahouse,
Po Box 54,
Clifton, TN 38425-0054
Ph: (731) 607-1007 | Selena Renee Pevahouse,
110 Miller Drive,
Clifton, TN 38425
Ph: (731) 607-1007 |
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