Trent Jim-e Theriac, FNP-C - Medicare Nurse Practitioner in Union City, TN

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Trent Jim-e Theriac, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Union City, Tennessee. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mckenzie Medical Center Pc, Fast Pace Medical Clinic Pllc and his current practice location is 399 E Highway 22, Union City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 592-0662.

Trent Jim-e Theriac is licensed to practice in Tennessee (license number 25562) 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 1134686116.

Contact Information

Trent Jim-e Theriac, FNP-C
399 E Highway 22,
Union City, TN 38261-8028
(731) 592-0662
Not Available

Map and Direction




Provider's Profile

Full NameTrent Jim-e Theriac
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location399 E Highway 22, Union City, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Trent Jim-e Theriac graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1134686116
  • Provider Enumeration Date: 02/26/2019
  • Last Update Date: 04/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0840533311
  • Enrollment ID: I20190524000631

Medical Identifiers

Medical identifiers for Trent Jim-e Theriac such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134686116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 210105 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 25562 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mckenzie Medical Center Pc236542785326
Fast Pace Medical Clinic Pllc5395881841680

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. Trent Jim-e Theriac allows following entities to bill medicare on his behalf.
Entity NameApex Cardiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073906616
PECOS PAC ID: 5092702498
Enrollment ID: O20040428000358
Entity NameMckenzie Medical Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700534229
PECOS PAC ID: 2365427853
Enrollment ID: O20040619000083
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 NameHometown Urgent Care Of Dyersburg, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003318593
PECOS PAC ID: 8820349202
Enrollment ID: O20180924003434

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. Trent Jim-e Theriac 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
Trent Jim-e Theriac, FNP-C
2550 Parr Ave,
Dyersburg, TN 38024-2033

Ph: (731) 325-5678		Trent Jim-e Theriac, FNP-C
399 E Highway 22,
Union City, TN 38261-8028

Ph: (731) 592-0662

Reviews and Comments


Nurse Practitioner Nurses in Union City, TN

Alicia Nicole Jernigan, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1020 E Reelfoot Ave Ste 201, Union City, TN 38261
Phone: 901-271-1000    
Mrs. Tracey Kizer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 Sherrill St, Suite B, Union City, TN 38261
Phone: 731-884-3900    Fax: 731-884-3901
Amy K Harris, N.P
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1109 E Reelfoot Ave Ste F, Union City, TN 38261
Phone: 731-884-1412    Fax: 731-884-1720
Amanda Lee Keown, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1412 E Reelfoot Ave, Union City, TN 38261
Phone: 731-885-5131    
Mrs. Kimberly Kaye Crowell, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1720 E Reelfoot Ave Ste 200, Union City, TN 38261
Phone: 731-507-0272    Fax: 731-507-0273
Jennifer Renee Vancleave,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 702 Sherrill St, Union City, TN 38261
Phone: 731-885-8884    Fax: 731-599-2111
Mrs. Kristina Pollock, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 W Reelfoot Ave, Union City, TN 38261
Phone: 731-599-1102    

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.