Mrs Stephanie Tichenor, ARNP in Louisville, KY

Mrs Stephanie Tichenor, ARNP is a medicare enrolled "Nurse Practitioner" in Louisville, Kentucky. Her current practice location is 210 E Gray St Ste 1105, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 583-1697.

Mrs Stephanie Tichenor is licensed to practice in Kentucky (license number 3005412) 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 1013111939.

Contact Information

	Mrs Stephanie Tichenor, ARNP
	210 E Gray St Ste 1105, Louisville, KY 40202-3907
	(502) 583-1697
	(502) 583-2120

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Tichenor
Gender	Female
Speciality	Nurse Practitioner
Location	210 E Gray St Ste 1105, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013111939
Provider Enumeration Date: 06/13/2007
Last Update Date: 01/22/2021

Medicare PECOS Information:

PECOS PAC ID: 3971683954
Enrollment ID: I20080103000135

Medical Identifiers

Medical identifiers for Mrs Stephanie Tichenor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013111939	NPI	-	NPPES
093360	Other	KY	SIHO- NNIKY
7100040710	Medicaid	KY
P00948802	Other	KY	RAILROAD MEDICARE
200884950	Medicaid	IN
50031587	Other	KY	PASSPORT- NNIKY
000000696981	Other	KY	ANTHEM- NNIKY
000040710	Other	KY	HUMANA- NNIKY
8960504	Other	KY	CIGNA- NNIKY
9152454	Other	KY	AETNA- NNIKY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	1096981 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	5412P (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	3005412 (Kentucky)	Secondary
363L00000X	Nurse Practitioner	3005412 (Kentucky)	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 Stephanie Tichenor allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306983762 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

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 Stephanie Tichenor 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 Stephanie Tichenor, ARNP Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Mrs Stephanie Tichenor, ARNP 210 E Gray St Ste 1105, Louisville, KY 40202-3907 Ph: (502) 583-1697

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Mrs Stephanie Tichenor, ARNP - Medicare Nurse Practitioner in Louisville, KY