Stacey Pollom, in Chattanooga, TN - Medicare Nurse Practitioner

Stacey Pollom, is a medicare enrolled "Nurse Practitioner" in Chattanooga, Tennessee. Her current practice location is 300 Cherokee Blvd Ste 110, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 326-7658.

Stacey Pollom is licensed to practice in Tennessee (license number 27095) 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 1306379631.

Contact Information

	Stacey Pollom,
	300 Cherokee Blvd Ste 110, Chattanooga, TN 37405-4467
	(423) 326-7658
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey Pollom
Gender	Female
Speciality	Nurse Practitioner
Location	300 Cherokee Blvd Ste 110, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306379631
Provider Enumeration Date: 04/04/2017
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8123394913
Enrollment ID: I20171023002400

Medical Identifiers

Medical identifiers for Stacey Pollom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306379631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95104604 (California)	Secondary
363L00000X	Nurse Practitioner	27095 (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. Stacey Pollom allows following entities to bill medicare on her behalf.

Entity Name	Southern California Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499

Entity Name	Katrina Platt Do Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740625607 PECOS PAC ID: 7214166701 Enrollment ID: O20140203001114

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. Stacey Pollom 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
Stacey Pollom, 4705 Alabama Ave, Chattanooga, TN 37409-1708 Ph: () -	Stacey Pollom, 300 Cherokee Blvd Ste 110, Chattanooga, TN 37405-4467 Ph: (423) 326-7658

Reviews and Comments

Nurse Practitioner Nurses in Chattanooga, TN

Cindy T Gilbert, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Pineville Rd, Chattanooga, TN 37405 Phone: 423-265-0063 Fax: 423-263-1060
Mrs. Marjorie Menardy Magloire, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 Tombras Ave, Chattanooga, TN 37412 Phone: 423-867-4969
Ms. Sandra Candece Huggins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1949 Gunbarrel Rd Ste 200, Chattanooga, TN 37421 Phone: 423-498-5980 Fax: 423-498-5981
Misty Gilliland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1726 Gunbarrel Rd Ste 100, Chattanooga, TN 37421 Phone: 423-954-9010 Fax: 423-510-8561
Lauren A Fox, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 E 3rd St, Chattanooga, TN 37403 Phone: 423-778-5437
Lisa Kahana-naipo, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Glenwood Dr Ste E786, Chattanooga, TN 37404 Phone: 423-682-8150 Fax: 423-682-8151
Elizabeth North Fluhrer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404 Phone: 423-698-8101 Fax: 423-698-3450

Stacey Pollom, - Medicare Nurse Practitioner in Chattanooga, TN