Charlie Samantha Jeffries, SRNA - Medicare Registered Nurse in Chattanooga, TN

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Charlie Samantha Jeffries, SRNA is a medicare enrolled "Registered Nurse" in Chattanooga, Tennessee. Her current practice location is 975 E 3rd St, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 356-9885.

Charlie Samantha Jeffries is licensed to practice in Tennessee (license number 0000235835) 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 1124857446.

Contact Information

Charlie Samantha Jeffries, SRNA
975 E 3rd St,
Chattanooga, TN 37403-2173
(423) 356-9885
Not Available

Map and Direction




Provider's Profile

Full NameCharlie Samantha Jeffries
GenderFemale
SpecialityRegistered Nurse
Location975 E 3rd St, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124857446
  • Provider Enumeration Date: 07/26/2024
  • Last Update Date: 07/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416477963
  • Enrollment ID: I20250227000755

Medical Identifiers

Medical identifiers for Charlie Samantha Jeffries such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124857446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000235835 (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. Charlie Samantha Jeffries allows following entities to bill medicare on her behalf.
Entity NameAnesthesiology Consultants Exchange, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670218
PECOS PAC ID: 2365434297
Enrollment ID: O20040331001631

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. Charlie Samantha Jeffries 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 AddressPractice Location Address
Charlie Samantha Jeffries, SRNA
826 Greenwood Rd,
Chattanooga, TN 37411-1369

Ph: (423) 356-9885		Charlie Samantha Jeffries, SRNA
975 E 3rd St,
Chattanooga, TN 37403-2173

Ph: (423) 356-9885

Reviews and Comments


Registered Nurse Nurses in Chattanooga, TN

Jennifer Denise Kozlica, RN, MPH
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 540 Mccallie Ave, Suite 450, Chattanooga, TN 37402
Phone: 423-634-5831    Fax: 423-634-3139
Joanna Dena Swanson, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6055 Shallowford Rd, Chattanooga, TN 37421
Phone: 423-266-6751    
Lizabeth D Haas, RN BSN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 921 East Third Street, Chattanooga, TN 37403
Phone: 423-209-8332    
Beverly Kennedy, LPN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3074 Hickory Valley Rd, Chattanooga, TN 37421
Phone: 423-622-1551    
Mrs. Tiffany Leatrice Kennerly, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Riverfront Pkwy Ste 209, Chattanooga, TN 37402
Phone: 423-634-3124    
Ms. Donna B Needham, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 921 E 3rd St, Chattanooga, TN 37403
Phone: 423-209-8233    Fax: 423-209-8241
Mr. Donald R. Potter, FNP-BC
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Cameron Hill Cir, Chattanooga, TN 37402
Phone: 423-535-5565    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.