Tory Kirsten Etheridge, NP in Gray, GA - Medicare Nurse Practitioner

Tory Kirsten Etheridge, NP is a medicare enrolled "Nurse Practitioner" in Gray, Georgia. Her current practice location is 4120 Gray Hwy, Gray, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 320-2298.

Tory Kirsten Etheridge is licensed to practice in Georgia (license number 2017026648) 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 1649771155.

Contact Information

	Tory Kirsten Etheridge, NP
	4120 Gray Hwy, Gray, GA 31032-6156
	(478) 320-2298
	Not Available

Map and Direction

Provider's Profile

Full Name	Tory Kirsten Etheridge
Gender	Female
Speciality	Nurse Practitioner
Location	4120 Gray Hwy, Gray, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649771155
Provider Enumeration Date: 02/21/2018
Last Update Date: 10/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3476805722
Enrollment ID: I20181015001480

Medical Identifiers

Medical identifiers for Tory Kirsten Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649771155	NPI	-	NPPES
RN223023	Other		GA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	2017026648 (Georgia)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	2017026648 (Georgia)	Secondary
363L00000X	Nurse Practitioner	2017026648 (Georgia)	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. Tory Kirsten Etheridge allows following entities to bill medicare on her behalf.

Entity Name	Georgia Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518476738 PECOS PAC ID: 7214294016 Enrollment ID: O20171204001717

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. Tory Kirsten Etheridge 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
Tory Kirsten Etheridge, NP 4120 Gray Hwy, Gray, GA 31032-6156 Ph: (478) 320-2298	Tory Kirsten Etheridge, NP 4120 Gray Hwy, Gray, GA 31032-6156 Ph: (478) 320-2298

Reviews and Comments

Nurse Practitioner Nurses in Gray, GA

Natalie F Evans, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Clinton St, Gray, GA 31032 Phone: 478-986-4743
Mrs. Brenda Gail Tolleson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Mrs. Leslie Busbee Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Michael Kelly, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Mrs. Marie Rosemonde Nozil, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 678-334-7218
Mrs. Catherine Marie Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481
Jennifer Lee Clark, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1005 Boulder Dr, Gray, GA 31032 Phone: 478-621-2100 Fax: 478-744-0481

Tory Kirsten Etheridge, NP - Medicare Nurse Practitioner in Gray, GA