Mrs Edna Lynn Woodard, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Red Boiling Springs, Tennessee. Her current practice location is
165 Dale Street, Red Boiling Springs, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 699-3169.
Mrs Edna Lynn Woodard is licensed to practice in Tennessee (license number APN6522) 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 1467483164.
Provider's Profile
| Full Name | Mrs Edna Lynn Woodard |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 165 Dale Street, Red Boiling Springs, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467483164
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 03/06/2012
Medicare PECOS Information:
- PECOS PAC ID: 2264406636
- Enrollment ID: I20040823000081
Medical Identifiers
Medical identifiers for Mrs Edna Lynn Woodard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467483164 | NPI | - | NPPES |
| 3929631 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APN6522 (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. Mrs Edna Lynn Woodard allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191218003345 |
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| Entity Name | 3 Ple O Llpc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508488800
PECOS PAC ID: 1557788460
Enrollment ID: O20200824001761 |
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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. Mrs Edna Lynn Woodard 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 |
|---|
Mrs Edna Lynn Woodard, FNP-BC
120 Market Street, P.o. Box 589,
Red Boiling Springs, TN 37150
Ph: (615) 699-3169 | Mrs Edna Lynn Woodard, FNP-BC
165 Dale Street,
Red Boiling Springs, TN 37150
Ph: (615) 699-3169 |
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