Gyu Chang Jo, FNP-BC - Medicare Nurse Practitioner in Mc Kenzie, TN

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Gyu Chang Jo, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mc Kenzie, Tennessee. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vanderbilt Bedford Hospital Llc, Vanderbilt University Medical Center and his current practice location is 205 Hospital Dr Ste A, Mc Kenzie, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 352-7907.

Gyu Chang Jo is licensed to practice in Tennessee (license number 25572) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245894724.

Contact Information

Gyu Chang Jo, FNP-BC
205 Hospital Dr Ste A,
Mc Kenzie, TN 38201
(731) 352-7907
(731) 352-4459

Map and Direction




Provider's Profile

Full NameGyu Chang Jo
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location205 Hospital Dr Ste A, Mc Kenzie, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gyu Chang Jo graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1245894724
  • Provider Enumeration Date: 04/30/2019
  • Last Update Date: 03/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0244566511
  • Enrollment ID: I20201211000256

Medical Identifiers

Medical identifiers for Gyu Chang Jo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245894724NPI-NPPES
3380640MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 25572 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vanderbilt University Medical CenterNashville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vanderbilt Bedford Hospital Llc408202669511
Vanderbilt University Medical Center50920234162960

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. Gyu Chang Jo allows following entities to bill medicare on his behalf.
Entity NameVanderbilt Integrated Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982625091
PECOS PAC ID: 7012817919
Enrollment ID: O20040108001021
Entity NameVanderbilt University Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104202761
PECOS PAC ID: 5092023416
Enrollment ID: O20151006000369
Entity NameVanderbilt Bedford Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750977989
PECOS PAC ID: 4082026695
Enrollment ID: O20210310000776

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. Gyu Chang Jo 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
Gyu Chang Jo, FNP-BC
3841 Green Hills Village Dr Ste 200,
Nashville, TN 37215-2691

Ph: () -		Gyu Chang Jo, FNP-BC
205 Hospital Dr Ste A,
Mc Kenzie, TN 38201

Ph: (731) 352-7907

Reviews and Comments


Nurse Practitioner Nurses in Mc Kenzie, TN

Lori B Holladay, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Beth Mitchell Graves, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Mrs. Victoria Brooke Ivy, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1894 Cedar St, Mc Kenzie, TN 38201
Phone: 731-207-6496    
Meredith Ann Brown, NP-C, CHPN, MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459
Leslie Leeann Ellis, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Oak Manor Rd, Mc Kenzie, TN 38201
Phone: 731-394-1145    
Briana Page Chandler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Hospital Dr Ste A, Mc Kenzie, TN 38201
Phone: 731-352-7907    

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.