Triumph Agility Care, Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Memphis, Tennessee. Their current practice location is
3385 Airways Blvd Ste 219, Memphis, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(601) 540-4386.
Triumph Agility Care, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Triumph Agility Care, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033832514.
Healthcare Provider's Profile
| Full Name | Triumph Agility Care, Llc |
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| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
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| Location | 3385 Airways Blvd Ste 219, Memphis, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033832514
- Provider Enumeration Date: 09/20/2022
- Last Update Date: 09/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678940764
- Enrollment ID: O20221102001557
Medical Identifiers
Medical identifiers for Triumph Agility Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033832514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Triumph Agility Care, Llc acts as a billing entity for following providers:
| Provider Name | Tanya K Mccaskill |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1396383238
PECOS PAC ID: 8123216892
Enrollment ID: I20221102001622 |
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| Provider Name | Tammara Jackson |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1255981296
PECOS PAC ID: 3072980911
Enrollment ID: I20221104001436 |
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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. Triumph Agility Care, Llc 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 |
|---|
Triumph Agility Care, Llc
1364 Ashley Cv,
Southaven, MS 38671-6426
Ph: (601) 540-4386 | Triumph Agility Care, Llc
3385 Airways Blvd Ste 219,
Memphis, TN 38116-3808
Ph: (601) 540-4386 |
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