Valerie Kim Tanner, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Wartburg, Tennessee. Her current practice location is
1825 Knoxville Hwy, Wartburg, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 346-3600.
Valerie Kim Tanner is licensed to practice in Tennessee (license number 32826) 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 1417174947.
Physician's Profile
| Full Name | Valerie Kim Tanner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1825 Knoxville Hwy, Wartburg, 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: 1417174947
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 04/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204921059
- Enrollment ID: I20220207000318
Medical Identifiers
Medical identifiers for Valerie Kim Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417174947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 078117 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-80475-111 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP9276639 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5015005 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0000032826 (Tennessee) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 078117 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 32826 (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. Valerie Kim Tanner allows following entities to bill medicare on her behalf.
| Entity Name | Shawnee Mission Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942317854
PECOS PAC ID: 1153239298
Enrollment ID: O20170209000848 |
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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. Valerie Kim Tanner 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 |
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Valerie Kim Tanner, NP
1275 Dick Lonas Rd Unit 101,
Knoxville, TN 37909-1383
Ph: (865) 584-4747 | Valerie Kim Tanner, NP
1825 Knoxville Hwy,
Wartburg, TN 37887-4120
Ph: (423) 346-3600 |
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