Izzabella Marie Pogreba, is a
Physician Assistant - Medical based in Tennessee Ridge, Tennessee. Izzabella Marie Pogreba is licensed to practice in * (Not Available) (license number ) and her current practice location is
540 Cook Hollow Ln, Tennessee Ridge, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 348-9099.
NPI number for Izzabella Marie Pogreba is 1063363166 and her current mailing address is 540 Cook Hollow Ln, Tennessee Ridge, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063363166.
Provider's Profile
| Full Name | Izzabella Marie Pogreba |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 540 Cook Hollow Ln, Tennessee Ridge, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063363166
- Provider Enumeration Date: 02/04/2026
- Last Update Date: 02/04/2026
Medical Identifiers
Medical identifiers for Izzabella Marie Pogreba such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063363166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Izzabella Marie Pogreba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Izzabella Marie Pogreba,
540 Cook Hollow Ln,
Tennessee Ridge, TN 37178-5533
Ph: (931) 348-9099 | Izzabella Marie Pogreba,
540 Cook Hollow Ln,
Tennessee Ridge, TN 37178-5533
Ph: (931) 348-9099 |
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