Jared Sheldon Penner, - Medicare Nurse Practitioner in Chattanooga, TN

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Jared Sheldon Penner, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chattanooga, Tennessee. His current practice location is 2205 Mccallie Ave, Chattanooga, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 698-2435.

Jared Sheldon Penner is licensed to practice in Tennessee (license number 34243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235817529.

Contact Information

Jared Sheldon Penner,
2205 Mccallie Ave,
Chattanooga, TN 37404-3230
(423) 698-2435
Not Available

Map and Direction




Provider's Profile

Full NameJared Sheldon Penner
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2205 Mccallie Ave, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235817529
  • Provider Enumeration Date: 07/07/2023
  • Last Update Date: 10/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052765450
  • Enrollment ID: I20231003001801

Medical Identifiers

Medical identifiers for Jared Sheldon Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235817529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 34243 (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. Jared Sheldon Penner allows following entities to bill medicare on his behalf.
Entity NameChattanooga Diagnostic Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679772099
PECOS PAC ID: 9739272519
Enrollment ID: O20070910000993

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. Jared Sheldon Penner 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
Jared Sheldon Penner,
19 Summer Dr,
Ringgold, GA 30736-3258

Ph: (928) 358-2832		Jared Sheldon Penner,
2205 Mccallie Ave,
Chattanooga, TN 37404-3230

Ph: (423) 698-2435

Reviews and Comments


Nurse Practitioner Nurses in Chattanooga, TN

Cindy T Gilbert, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 Pineville Rd, Chattanooga, TN 37405
Phone: 423-265-0063    Fax: 423-263-1060
Ms. Sandra Candece Huggins, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 1949 Gunbarrel Rd Ste 200, Chattanooga, TN 37421
Phone: 423-498-5980    Fax: 423-498-5981
Misty Gilliland, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1726 Gunbarrel Rd Ste 100, Chattanooga, TN 37421
Phone: 423-954-9010    Fax: 423-510-8561
Lauren A Fox,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 E 3rd St, Chattanooga, TN 37403
Phone: 423-778-5437    
Lisa Kahana-naipo,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 725 Glenwood Dr Ste E786, Chattanooga, TN 37404
Phone: 423-682-8150    Fax: 423-682-8151
Ms. Chelsey Darlene Benson, DNP, AG-ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2501 Citico Ave, Chattanooga, TN 37404
Phone: 423-697-2000    Fax: 423-697-2320
Elizabeth North Fluhrer, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2515 Desales Ave Ste 206, Chattanooga, TN 37404
Phone: 423-698-8101    Fax: 423-698-3450

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.