Terrye Mastin, APRN,BC is a medicare enrolled "Clinical Nurse Specialist - Adult Health" physician in Memphis, Tennessee. Her current practice location is
5625 Poplar Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(901) 761-1220.
Terrye Mastin is licensed to practice in Tennessee (license number TN6208) 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 1730110693.
Physician's Profile
| Full Name | Terrye Mastin |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 5625 Poplar Ave, Memphis, 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: 1730110693
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 02/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 2466488291
- Enrollment ID: I20050713000678
Medical Identifiers
Medical identifiers for Terrye Mastin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730110693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | APN6208 (Tennessee) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | TN6208 (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. Terrye Mastin allows following entities to bill medicare on her behalf.
| Entity Name | Shea Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568427128
PECOS PAC ID: 3971525635
Enrollment ID: O20090429000705 |
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| Entity Name | Midsouth Independent Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861009326
PECOS PAC ID: 2668886722
Enrollment ID: O20210201001564 |
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| Entity Name | Honeycomb Medical Group Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548971450
PECOS PAC ID: 2668837204
Enrollment ID: O20230505001082 |
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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. Terrye Mastin 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 |
|---|
Terrye Mastin, APRN,BC
5625 Poplar Ave,
Memphis, TN 38119-3816
Ph: (901) 761-1220 | Terrye Mastin, APRN,BC
5625 Poplar Ave,
Memphis, TN 38119-3816
Ph: (901) 761-1220 |
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