Tina Jean Bumgarner, ANP C - Medicare Nurse Practitioner in Carolina Shores, NC

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Tina Jean Bumgarner, ANP C is a medicare enrolled "Nurse Practitioner" in Carolina Shores, North Carolina. Her current practice location is 75 Emerson Bay Rd Ste 102, Carolina Shores, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 579-8363.

Tina Jean Bumgarner is licensed to practice in North Carolina (license number 5003968) 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 1598932683.

Contact Information

Tina Jean Bumgarner, ANP C
75 Emerson Bay Rd Ste 102,
Carolina Shores, NC 28467-2498
(910) 579-8363
(910) 579-8306

Map and Direction




Provider's Profile

Full NameTina Jean Bumgarner
GenderFemale
SpecialityNurse Practitioner
Location75 Emerson Bay Rd Ste 102, Carolina Shores, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598932683
  • Provider Enumeration Date: 05/08/2008
  • Last Update Date: 05/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9032280797
  • Enrollment ID: I20230405000724

Medical Identifiers

Medical identifiers for Tina Jean Bumgarner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598932683NPI-NPPES
7902054MedicaidNC
NCF599BOtherNCMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5003968 (North Carolina)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. Tina Jean Bumgarner allows following entities to bill medicare on her behalf.
Entity NameMartinsville Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255380887
PECOS PAC ID: 0143233346
Enrollment ID: O20060710000176

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. Tina Jean Bumgarner 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
Tina Jean Bumgarner, ANP C
Po Box 936857,
Atlanta, GA 31193-6857

Ph: (910) 579-8363		Tina Jean Bumgarner, ANP C
75 Emerson Bay Rd Ste 102,
Carolina Shores, NC 28467-2498

Ph: (910) 579-8363

Reviews and Comments


Nurse Practitioner Nurses in Carolina Shores, NC

Ross Alden Lippard,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467
Phone: 910-579-8363    Fax: 910-579-8306
Ms. Natalie Yount, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467
Phone: 910-579-8363    Fax: 910-579-8306
Judith M Heintz, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467
Phone: 910-579-8363    Fax: 910-579-8306
Mrs. Barbara Annette Wickham, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 75 Emerson Bay Rd Ste 102, Carolina Shores, NC 28467
Phone: 910-579-8363    Fax: 910-579-8306

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.