Stacy Ann Wason-fawver, NP - Medicare Nurse Practitioner in Knoxville, TN

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Stacy Ann Wason-fawver, NP is a medicare enrolled "Nurse Practitioner - Family" in Knoxville, Tennessee. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Copilotiq Pc, Copilotiq Pc, Copilotiq Pc and her current practice location is 2418 Midway Rd, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 806-0773.

Stacy Ann Wason-fawver is licensed to practice in Tennessee (license number 18632) 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 1194143347.

Contact Information

Stacy Ann Wason-fawver, NP
2418 Midway Rd,
Knoxville, TN 37914-9372
(865) 806-0773
Not Available

Map and Direction




Provider's Profile

Full NameStacy Ann Wason-fawver
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location2418 Midway Rd, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy Ann Wason-fawver graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1194143347
  • Provider Enumeration Date: 04/04/2014
  • Last Update Date: 09/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466672142
  • Enrollment ID: I20140930002729

Medical Identifiers

Medical identifiers for Stacy Ann Wason-fawver such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194143347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN149401 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 18632 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Copilotiq Pc781039204016
Copilotiq Pc781039204016
Copilotiq Pc781039204016

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. Stacy Ann Wason-fawver allows following entities to bill medicare on her behalf.
Entity NameCherokee Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134128820
PECOS PAC ID: 3577474295
Enrollment ID: O20031119000769
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameIntegrated Rehab Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528379195
PECOS PAC ID: 7810184892
Enrollment ID: O20200527003425
Entity NameCopilotiq Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316527203
PECOS PAC ID: 7810392040
Enrollment ID: O20210825002791

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. Stacy Ann Wason-fawver 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 AddressPractice Location Address
Stacy Ann Wason-fawver, NP
926 Main St,
Nashville, TN 37206-3614

Ph: (615) 436-9060		Stacy Ann Wason-fawver, NP
2418 Midway Rd,
Knoxville, TN 37914-9372

Ph: (865) 806-0773

Reviews and Comments


Nurse Practitioner Nurses in Knoxville, TN

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Mrs. Sara A Jones, ANP
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Emily A. Radcliffe, FNP
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Practice Location: 11416 Grigsby Chapel Rd, Ste 103, Knoxville, TN 37934
Phone: 865-966-2688    Fax: 865-777-0613

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.