Rhennetta Bork, DPM in Columbia, TN - Medicare Podiatrist Provider

Rhennetta Bork, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Columbia, Tennessee. Her current practice location is 1503 Hatcher Ln Ste 100, Columbia, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 388-9922.

Rhennetta Bork is licensed to practice in Tennessee (license number 925) 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 1568923944.

Contact Information

	Rhennetta Bork, DPM
	1503 Hatcher Ln Ste 100, Columbia, TN 38401-4833
	(931) 388-9922
	(615) 332-0340

Map and Direction

Healthcare Provider's Profile

Full Name	Rhennetta Bork
Gender	Female
Speciality	Podiatrist - Foot & Ankle Surgery
Location	1503 Hatcher Ln Ste 100, Columbia, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568923944
Provider Enumeration Date: 03/27/2019
Last Update Date: 11/23/2022

Medicare PECOS Information:

PECOS PAC ID: 0648504357
Enrollment ID: I20220727003694

Medical Identifiers

Medical identifiers for Rhennetta Bork such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568923944	NPI	-	NPPES
Q075257	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0131X	Podiatrist - Foot Surgery	925 (Tennessee)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	925 (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. Rhennetta Bork allows following entities to bill medicare on her behalf.

Provider Name	Advanced Foot And Ankle Care Centers Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801990049 PECOS PAC ID: 3476449711 Enrollment ID: O20040224001173

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. Rhennetta Bork 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
Rhennetta Bork, DPM 397 Wallace Rd Ste 411, Nashville, TN 37211-8028 Ph: (615) 332-0330	Rhennetta Bork, DPM 1503 Hatcher Ln Ste 100, Columbia, TN 38401-4833 Ph: (931) 388-9922

Reviews and Comments

Podiatrist in Columbia, TN

Advanced Diagnostic Imaging, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 615-220-8788 Fax: 615-220-8688
Aaron Michael Owens, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3203 Carrington Ln, Columbia, TN 38401 Phone: 931-629-7176 Fax: 931-223-5459
Ann R. Goranson D.p.m. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1413 Hatcher Ln, Columbia, TN 38401 Phone: 931-381-3020
Dr. Brian D Jackson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 615-220-8788 Fax: 615-220-8688
Brian D. Jackson, Dpm, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1215 Hatcher Ln, Columbia, TN 38401 Phone: 931-380-0353
Dr. Robert J Schreiber, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1705 Wedgewood Dr, Columbia, TN 38401 Phone: 931-388-2190 Fax: 931-388-2190

Rhennetta Bork, DPM - Medicare Podiatrist in Columbia, TN