Mrs Mary Christy Lipscomb, AG-ACNP-BC in East Ridge, TN

Mrs Mary Christy Lipscomb, AG-ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in East Ridge, Tennessee. Her current practice location is 1508 Tombras Ave, East Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 867-4969.

Mrs Mary Christy Lipscomb is licensed to practice in Tennessee (license number 17817) 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 1790127090.

Contact Information

	Mrs Mary Christy Lipscomb, AG-ACNP-BC
	1508 Tombras Ave, East Ridge, TN 37412-2720
	(423) 867-4969
	(423) 867-4971

Map and Direction

Provider's Profile

Full Name	Mrs Mary Christy Lipscomb
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1508 Tombras Ave, East Ridge, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790127090
Provider Enumeration Date: 07/27/2013
Last Update Date: 01/06/2016

Medicare PECOS Information:

PECOS PAC ID: 6608002407
Enrollment ID: I20131127000934

Medical Identifiers

Medical identifiers for Mrs Mary Christy Lipscomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790127090	NPI	-	NPPES
6050407	Other	TN	BCBS OF TENNESSEE
Q014366	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	17817 (Tennessee)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	17817 (Tennessee)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	17817 (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 Mary Christy Lipscomb allows following entities to bill medicare on her behalf.

Entity Name	Cleveland Medical Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093723330 PECOS PAC ID: 7113952938 Enrollment ID: O20050929001372

Entity Name	Kaful Double Portion Family Practice, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386049476 PECOS PAC ID: 7416273735 Enrollment ID: O20150304001610

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 Mary Christy Lipscomb 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 Mary Christy Lipscomb, AG-ACNP-BC 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969	Mrs Mary Christy Lipscomb, AG-ACNP-BC 1508 Tombras Ave, East Ridge, TN 37412-2720 Ph: (423) 867-4969

Reviews and Comments

Nurse Practitioner Nurses in East Ridge, TN

Chelsea Lane Gondek, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 961 Spring Creek Rd Ste 300, East Ridge, TN 37412 Phone: 423-839-9787
Ms. Anne Rebecca Neumann, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971
Minna Rena Deluca, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971
Amin Sohani, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971
Marcile Helen Leaf, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971
Ms. Ardyce Jane Ridolfo, MSN,D.PHIL, GNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Tombras Avenue, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971
Amy Dawn Latham, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971

Mrs Mary Christy Lipscomb, AG-ACNP-BC - Medicare Nurse Practitioner in East Ridge, TN