Mrs Stacy Nicole Nelms, PT is a medicare enrolled "Physical Therapist" provider in Chattanoga, Tennessee. Her current practice location is
2415 Mccallie Avenue, Chattanoga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 624-2696.
Mrs Stacy Nicole Nelms is licensed to practice in Tennessee (license number PT0000003749) 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 1053401208.
Healthcare Provider's Profile
| Full Name | Mrs Stacy Nicole Nelms |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 2415 Mccallie Avenue, Chattanoga, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053401208
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 10/30/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597861302
- Enrollment ID: I20070510000266
Medical Identifiers
Medical identifiers for Mrs Stacy Nicole Nelms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053401208 | NPI | - | NPPES |
| 3067481 | Other | TN | BLUE CROSS BLUE SHIELD |
| TN0100 | Other | TN | JOHN DEERE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT0000003749 (Tennessee) | Primary |
| 225100000X | Physical Therapist | PT007435 (Georgia) | Secondary |
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. Mrs Stacy Nicole Nelms allows following entities to bill medicare on her behalf.
| Provider Name | Chattanooga Orthopaedic Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548203821
PECOS PAC ID: 1254229156
Enrollment ID: O20040310000657 |
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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. Mrs Stacy Nicole Nelms 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 |
|---|
Mrs Stacy Nicole Nelms, PT
2415 Mccallie Avenue,
Chattanoga, TN 37404
Ph: (423) 624-2696 | Mrs Stacy Nicole Nelms, PT
2415 Mccallie Avenue,
Chattanoga, TN 37404
Ph: (423) 624-2696 |
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