Tina Lashae Lum, NP in Jackson, TN - Medicare Nurse Practitioner

Tina Lashae Lum, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Tennessee. Her current practice location is 616 W Forest Ave, Jackson, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 574-3000.

Tina Lashae Lum is licensed to practice in Tennessee (license number APN0000022045) 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 1588180806.

Contact Information

	Tina Lashae Lum, NP
	616 W Forest Ave, Jackson, TN 38301-3902
	(731) 574-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Lashae Lum
Gender	Female
Speciality	Nurse Practitioner
Location	616 W Forest Ave, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588180806
Provider Enumeration Date: 08/17/2017
Last Update Date: 04/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0840556445
Enrollment ID: I20191009002225

Medical Identifiers

Medical identifiers for Tina Lashae Lum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588180806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN0000022045 (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. Tina Lashae Lum allows following entities to bill medicare on her behalf.

Entity Name	Dlp Frye Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154005965 PECOS PAC ID: 8123397601 Enrollment ID: O20170627003051

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. Tina Lashae Lum 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
Tina Lashae Lum, NP 587 Skyline Dr, Jackson, TN 38301-3938 Ph: () -	Tina Lashae Lum, NP 616 W Forest Ave, Jackson, TN 38301-3902 Ph: (731) 574-3000

Reviews and Comments

Nurse Practitioner Nurses in Jackson, TN

Katherine E Wyatt, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Amy K Lawrence, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8380
Lauren Williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1047 Union University Dr, Jackson, TN 38305 Phone: 731-256-0035
Anna K Younger, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8301
Kirsten Siler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Drive, Jackson, TN 38301 Phone: 731-541-3310
Stephanie Pool, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36 Pemberton Cv, Jackson, TN 38305 Phone: 731-394-1145 Fax: 844-374-0233
Kimberlie A Simpson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 Independence Ln, Jackson, TN 38305 Phone: 731-617-1483

Tina Lashae Lum, NP - Medicare Nurse Practitioner in Jackson, TN