Alexandra Pendergrass, is a medicare enrolled "Physician Assistant" physician in Pikeville, Tennessee. She went to Nova Southeastern Univ College Of Dental Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Erlanger Health and her current practice location is
136 Wheelertown Ave, Pikeville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 447-3524.
Alexandra Pendergrass is licensed to practice in Tennessee (license number 2852) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942671342.
Physician's Profile
| Full Name | Alexandra Pendergrass |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 136 Wheelertown Ave, Pikeville, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexandra Pendergrass attended and graduated from Nova Southeastern Univ College Of Dental Medicine in 2015
NPI Data:
- NPI Number: 1942671342
- Provider Enumeration Date: 10/12/2015
- Last Update Date: 09/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 3678882990
- Enrollment ID: I20151027001423
Medical Identifiers
Medical identifiers for Alexandra Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942671342 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 2852 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 2852 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Erlanger Health | 1153780226 | 352 |
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. Alexandra Pendergrass 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 |
|---|
Alexandra Pendergrass,
5394 Summer City Rd,
Evensville, TN 37332-4108
Ph: (269) 967-9089 | Alexandra Pendergrass,
136 Wheelertown Ave,
Pikeville, TN 37367
Ph: (423) 447-3524 |
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