Thomas Daniel Shirley, in Seymour, TN - Medicare Nurse Practitioner

Thomas Daniel Shirley, is a medicare enrolled "Nurse Practitioner - Family" in Seymour, Tennessee. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Champion Physical Therapy Llc Halls, Covenant Medical Group Inc and his current practice location is 11546 Chapman Hwy, Seymour, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 578-5080.

Thomas Daniel Shirley is licensed to practice in Tennessee (license number 17807) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609218569.

Contact Information

	Thomas Daniel Shirley,
	11546 Chapman Hwy, Seymour, TN 37865-5044
	(865) 578-5080
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas Daniel Shirley
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	11546 Chapman Hwy, Seymour, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Thomas Daniel Shirley graduated from nursing school in 2013

NPI Data:

NPI Number: 1609218569
Provider Enumeration Date: 07/20/2013
Last Update Date: 06/24/2020

Medicare PECOS Information:

PECOS PAC ID: 5890938260
Enrollment ID: I20130904000443

Medical Identifiers

Medical identifiers for Thomas Daniel Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609218569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	17807 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Leconte Medical Center	Sevierville, TN	Hospital
University Of Tn Medical Center	Knoxville, TN	Hospital
Physicians Regional Medical Center	Powell, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Champion Physical Therapy Llc Halls	1355416306	241
Covenant Medical Group Inc	2860305463	282

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. Thomas Daniel Shirley allows following entities to bill medicare on his behalf.

Entity Name	Covenant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457302010 PECOS PAC ID: 2860305463 Enrollment ID: O20060719000030

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. Thomas Daniel Shirley 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
Thomas Daniel Shirley, 117 Vera Ln, Dandridge, TN 37725-6872 Ph: (865) 789-6506	Thomas Daniel Shirley, 11546 Chapman Hwy, Seymour, TN 37865-5044 Ph: (865) 578-5080

Reviews and Comments

Nurse Practitioner Nurses in Seymour, TN

Kristi Michelle Rutherford, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 212 Phoenix Ct Ste 1, Seymour, TN 37865 Phone: 865-577-6475 Fax: 865-577-7942
Laura Contri, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174
Brittany R. Simpson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539
Mrs. Amber Gaskins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11657 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-4836
Wendy Wimbrow Laforest, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10626 Chapman Hwy, Seymour, TN 37865 Phone: 865-577-5231 Fax: 865-577-1539
Stacy Wason-fawver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174
Ewelina K Freudenberger, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174

Thomas Daniel Shirley, - Medicare Nurse Practitioner in Seymour, TN