Tina S Chavis, FNP, PMHNP in Atlanta, GA - Medicare Nurse Practitioner

Tina S Chavis, FNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fayette Bhc Llc and her current practice location is Po Box 748465, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (855) 284-7483.

Tina S Chavis is licensed to practice in Indiana (license number 71005603A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053795435.

Contact Information

	Tina S Chavis, FNP, PMHNP
	Po Box 748465, Atlanta, GA 30374-8465
	(855) 284-7483
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina S Chavis
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	Po Box 748465, Atlanta, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina S Chavis graduated from nursing school in 2015

NPI Data:

NPI Number: 1053795435
Provider Enumeration Date: 07/15/2015
Last Update Date: 06/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2062727027
Enrollment ID: I20150819009165

Medical Identifiers

Medical identifiers for Tina S Chavis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053795435	NPI	-	NPPES
28184688A	Other	IN	RN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28184688A (Indiana)	Secondary
364SP0808X	Clinical Nurse Specialist - Psychiatric/mental Health	71005603A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71005603A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fayette Bhc Llc	8426401548	4

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 S Chavis allows following entities to bill medicare on her behalf.

Entity Name	State Of Indiana Auditor Of State
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564

Entity Name	Reid Physician Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573

Entity Name	Fayette Bhc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669254546 PECOS PAC ID: 8426401548 Enrollment ID: O20240125000624

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 S Chavis 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
Tina S Chavis, FNP, PMHNP 3074 Dogwood Ln, Richmond, IN 47374-3531 Ph: (765) 967-0466	Tina S Chavis, FNP, PMHNP Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483

Reviews and Comments

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Tina S Chavis, FNP, PMHNP - Medicare Nurse Practitioner in Atlanta, GA