Tina Jean Bumgarner, ANP C in Southport, NC - Medicare Nurse Practitioner

Tina Jean Bumgarner, ANP C is a medicare enrolled "Nurse Practitioner" in Southport, North Carolina. Her current practice location is 4654 Long Beach Rd Se, Southport, North Carolina. You can reach out to her office (for appointments etc.) via phone at (104) 570-0709.

Tina Jean Bumgarner is licensed to practice in North Carolina (license number 5003968) 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 1598932683.

Contact Information

	Tina Jean Bumgarner, ANP C
	4654 Long Beach Rd Se, Southport, NC 28461-8799
	(104) 570-0709
	(910) 320-8449

Map and Direction

Provider's Profile

Full Name	Tina Jean Bumgarner
Gender	Female
Speciality	Nurse Practitioner
Location	4654 Long Beach Rd Se, Southport, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598932683
Provider Enumeration Date: 05/08/2008
Last Update Date: 04/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9032280797
Enrollment ID: I20080624000351

Medical Identifiers

Medical identifiers for Tina Jean Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598932683	NPI	-	NPPES
NCF599B	Other	NC	MEDICARE PTAN
7902054	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5003968 (North Carolina)	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 Jean Bumgarner allows following entities to bill medicare on her behalf.

Entity Name	Goshen Medical Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726

Entity Name	Beavers Dermatology & Skin Surgery, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477842573 PECOS PAC ID: 3577747476 Enrollment ID: O20110418000182

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 Jean Bumgarner 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 Jean Bumgarner, ANP C 4654 Long Beach Rd Se, Southport, NC 28461-8799 Ph: (104) 570-0709	Tina Jean Bumgarner, ANP C 4654 Long Beach Rd Se, Southport, NC 28461-8799 Ph: (104) 570-0709

Reviews and Comments

Nurse Practitioner Nurses in Southport, NC

Sally Delmastro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-457-3800
Mrs. Amanda Dewitt Reynolds, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-457-3800
Mrs. Dora Connelly Loflin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4705 Southport Supply Rd Se, Southport, NC 28461 Phone: 910-457-6044 Fax: 910-457-5220
Jillian Sara Tabor, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 924 N Howe St, Southport, NC 28461 Phone: 910-454-1192
Margaret Higgins Kaplan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5503 Rob Gandy Blvd Se Ste 2b, Southport, NC 28461 Phone: 910-442-8900 Fax: 910-310-4352
Lorena Dunbar Mauney, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4734 Long Beach Rd Se, Southport, NC 28461 Phone: 910-457-0070 Fax: 910-267-8936
Ms. Julie Ann Stanwick, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 W Boiling Spring Rd, Southport, NC 28461 Phone: 910-845-5333 Fax: 855-881-2158

Tina Jean Bumgarner, ANP C - Medicare Nurse Practitioner in Southport, NC