Penny Gateley Creekmore, FNP - Medicare Nurse Practitioner in Friendship, TN

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Penny Gateley Creekmore, FNP is a medicare enrolled "Nurse Practitioner - Family" in Friendship, Tennessee. Her current practice location is 522 Main St, Friendship, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 677-3001.

Penny Gateley Creekmore is licensed to practice in Tennessee (license number 0000014856) 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 1730419425.

Contact Information

Penny Gateley Creekmore, FNP
522 Main St,
Friendship, TN 38034-1966
(731) 677-3001
Not Available

Map and Direction




Provider's Profile

Full NamePenny Gateley Creekmore
GenderFemale
SpecialityNurse Practitioner - Family
Location522 Main St, Friendship, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730419425
  • Provider Enumeration Date: 01/03/2010
  • Last Update Date: 10/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8022134501
  • Enrollment ID: I20100922000757

Medical Identifiers

Medical identifiers for Penny Gateley Creekmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730419425NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0000129477 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 0000014856 (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. Penny Gateley Creekmore allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112
Entity NameBethesda Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407244171
PECOS PAC ID: 8426377466
Enrollment ID: O20150424001635

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. Penny Gateley Creekmore 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
Penny Gateley Creekmore, FNP
522 Main St,
Friendship, TN 38034-1966

Ph: (731) 677-3000		Penny Gateley Creekmore, FNP
522 Main St,
Friendship, TN 38034-1966

Ph: (731) 677-3001

Reviews and Comments


Nurse Practitioner Nurses in Friendship, TN

Phyllis P Moore, DNP,FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Main St, Friendship, TN 38034
Phone: 731-677-3400    Fax: 731-677-3402
Ashley Blalock,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4903 Bruceville Slab Rd, Friendship, TN 38034
Phone: 731-676-0393    

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.