Tiffany T Pendergrass, FNP in Lenoir City, TN

Tiffany T Pendergrass, FNP is a medicare enrolled "Nurse Practitioner" in Lenoir City, Tennessee. Her current practice location is 689 Medical Park Dr Ste 201, Lenoir City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 988-6575.

Tiffany T Pendergrass is licensed to practice in Tennessee (license number 32294) 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 1194418939.

Contact Information

	Tiffany T Pendergrass, FNP
	689 Medical Park Dr Ste 201, Lenoir City, TN 37772-5797
	(865) 988-6575
	(865) 988-6066

Map and Direction

Provider's Profile

Full Name	Tiffany T Pendergrass
Gender	Female
Speciality	Nurse Practitioner
Location	689 Medical Park Dr Ste 201, Lenoir City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194418939
Provider Enumeration Date: 05/29/2023
Last Update Date: 05/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0143676452
Enrollment ID: I20231023003038

Medical Identifiers

Medical identifiers for Tiffany T Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194418939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	32294 (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. Tiffany T Pendergrass allows following entities to bill medicare on her behalf.

Entity Name	Knoxville Nephrology Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184031965 PECOS PAC ID: 9537388525 Enrollment ID: O20140924002414

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. Tiffany T Pendergrass 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
Tiffany T Pendergrass, FNP 689 Medical Park Dr Ste 201, Lenoir City, TN 37772-5797 Ph: (865) 988-6575	Tiffany T Pendergrass, FNP 689 Medical Park Dr Ste 201, Lenoir City, TN 37772-5797 Ph: (865) 988-6575

Reviews and Comments

Nurse Practitioner Nurses in Lenoir City, TN

Hannah Elizabeth Raines, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Adesa Blvd Ste A150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890
Sydney Upchurch, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5505 Creekwood Park Blvd, Lenoir City, TN 37772 Phone: 865-986-1400 Fax: 865-986-9400
Patricia C Morton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5779 Creekwood Park Blvd Ste 110, Lenoir City, TN 37772 Phone: 865-635-2810 Fax: 865-635-2812
Crystal G Moses, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Town Creek Rd E, Suite 2b, Lenoir City, TN 37772 Phone: 865-986-1400 Fax: 865-986-9400
Amy Nicole Patterson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890
Kathryn Pierce, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Fort Loudoun Medical Center Dr, Suite 203, Lenoir City, TN 37772 Phone: 865-271-6095 Fax: 865-271-6096
Meghan Elizabeth Mencer, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N A St, Lenoir City, TN 37771 Phone: 865-684-5688

Tiffany T Pendergrass, FNP - Medicare Nurse Practitioner in Lenoir City, TN