Bonnie Sue Judd, APN in Waverly, TN - Medicare Nurse Practitioner

Bonnie Sue Judd, APN is a medicare enrolled "Nurse Practitioner - Family" in Waverly, Tennessee. Her current practice location is 203 E Commerce St, Waverly, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 296-5833.

Bonnie Sue Judd is licensed to practice in Tennessee (license number 6534) 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 1912922816.

Contact Information

	Bonnie Sue Judd, APN
	203 E Commerce St, Waverly, TN 37185-1629
	(931) 296-5833
	(931) 296-7388

Map and Direction

Provider's Profile

Full Name	Bonnie Sue Judd
Gender	Female
Speciality	Nurse Practitioner - Family
Location	203 E Commerce St, Waverly, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912922816
Provider Enumeration Date: 07/12/2006
Last Update Date: 01/19/2009

Medicare PECOS Information:

PECOS PAC ID: 4789610312
Enrollment ID: I20050716000012

Medical Identifiers

Medical identifiers for Bonnie Sue Judd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912922816	NPI	-	NPPES
36404231	Medicaid	TN
4157094	Other	TN	BCBS OF TN PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6534 (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. Bonnie Sue Judd allows following entities to bill medicare on her behalf.

Entity Name	Memorial Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154353092 PECOS PAC ID: 8820187941 Enrollment ID: O20071127000667

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. Bonnie Sue Judd 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
Bonnie Sue Judd, APN 203 E Commerce St, Waverly, TN 37185-1629 Ph: (931) 296-5833	Bonnie Sue Judd, APN 203 E Commerce St, Waverly, TN 37185-1629 Ph: (931) 296-5833

Reviews and Comments

Nurse Practitioner Nurses in Waverly, TN

Kimberly Lynn Masengill, FNP-BC, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 W Main St, Waverly, TN 37185 Phone: 615-299-7378 Fax: 615-299-7399
Kristie Zimmerman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 W Main St, Waverly, TN 37185 Phone: 931-299-7378 Fax: 931-299-7399
Ashley E O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Clydeton Rd, Waverly, TN 37185 Phone: 931-296-2737 Fax: 931-296-1656
Aylessa Baker, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 451 Sr-13, Waverly, TN 37185 Phone: 931-296-4203
Mrs. Heather Blue Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 W Main St, Waverly, TN 37185 Phone: 931-299-5001 Fax: 931-299-5003
Mrs. Christie Madge King-patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215b Holly Lane, Waverly, TN 37185 Phone: 931-296-9969 Fax: 931-296-8100
Mary B. Davis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 725 Holly Ln, Waverly, TN 37185 Phone: 931-296-2231 Fax: 931-296-4590

Bonnie Sue Judd, APN - Medicare Nurse Practitioner in Waverly, TN