Lacie Gail Gudger, NP-C in Englewood, TN - Medicare Nurse Practitioner

Lacie Gail Gudger, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Englewood, Tennessee. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sweetwater Hospital Association and her current practice location is 3360 Highway 411 N, Englewood, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 887-5131.

Lacie Gail Gudger is licensed to practice in Tennessee (license number APN24561) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114405354.

Contact Information

	Lacie Gail Gudger, NP-C
	3360 Highway 411 N, Englewood, TN 37329-5276
	(423) 887-5131
	(423) 887-5917

Map and Direction

Provider's Profile

Full Name	Lacie Gail Gudger
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3360 Highway 411 N, Englewood, Tennessee
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacie Gail Gudger graduated from nursing school in 2018

NPI Data:

NPI Number: 1114405354
Provider Enumeration Date: 07/31/2018
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 6800147141
Enrollment ID: I20180925002804

Medical Identifiers

Medical identifiers for Lacie Gail Gudger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114405354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN181114 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	APN24561 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sweetwater Hospital Association	Sweetwater, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sweetwater Hospital Association	6608773775	24

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. Lacie Gail Gudger allows following entities to bill medicare on her behalf.

Entity Name	Sweetwater Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558995399 PECOS PAC ID: 6608773775 Enrollment ID: O20210226000607

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. Lacie Gail Gudger 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
Lacie Gail Gudger, NP-C 6350 W Andrew Johnson Hwy, Talbott, TN 37877-8605 Ph: (800) 355-3565	Lacie Gail Gudger, NP-C 3360 Highway 411 N, Englewood, TN 37329-5276 Ph: (423) 887-5131

Reviews and Comments

Nurse Practitioner Nurses in Englewood, TN

Gwen A Guegold, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3360 Highway 411 N, Englewood, TN 37329 Phone: 423-887-5131 Fax: 423-887-5917
Theresa Caniff, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Highway 411 N, Englewood, TN 37329 Phone: 423-887-5131 Fax: 423-887-5917
Deidre Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 W Athens St, Englewood, TN 37329 Phone: 423-887-7100 Fax: 423-606-0122
Mary Alice Watts, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Highway 411 N, Englewood, TN 37329 Phone: 423-887-5131 Fax: 423-887-5917
Susan R Goble, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Highway 411 N, Englewood, TN 37329 Phone: 423-887-5131 Fax: 423-887-5917

Lacie Gail Gudger, NP-C - Medicare Nurse Practitioner in Englewood, TN