Mrs Stacy Nicole Nelms, PT is a medicare enrolled "Physical Therapist" provider in Chattanoga, Tennessee. She graduated from medical school in 1994 and has 31 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Chattanooga Orthopaedic Group Pc and her current practice location is
2415 Mccallie Avenue, Chattanoga, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 624-2696.
Mrs Stacy Nicole Nelms is licensed to practice in Tennessee (license number PT0000003749) 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 1053401208.
Healthcare Provider's Profile
| Full Name | Mrs Stacy Nicole Nelms |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 31 Years |
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| Location | 2415 Mccallie Avenue, Chattanoga, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Stacy Nicole Nelms graduated from medical school in 1994
NPI Data:
- NPI Number: 1053401208
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 10/30/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597861302
- Enrollment ID: I20070510000266
Medical Identifiers
Medical identifiers for Mrs Stacy Nicole Nelms such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053401208 | NPI | - | NPPES |
| 3067481 | Other | TN | BLUE CROSS BLUE SHIELD |
| TN0100 | Other | TN | JOHN DEERE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT0000003749 (Tennessee) | Primary |
| 225100000X | Physical Therapist | PT007435 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chattanooga Orthopaedic Group Pc | 1254229156 | 69 |
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. Mrs Stacy Nicole Nelms allows following entities to bill medicare on her behalf.
| Provider Name | Chattanooga Orthopaedic Group Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548203821
PECOS PAC ID: 1254229156
Enrollment ID: O20040310000657 |
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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. Mrs Stacy Nicole Nelms 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 |
|---|
Mrs Stacy Nicole Nelms, PT
2415 Mccallie Avenue,
Chattanoga, TN 37404
Ph: (423) 624-2696 | Mrs Stacy Nicole Nelms, PT
2415 Mccallie Avenue,
Chattanoga, TN 37404
Ph: (423) 624-2696 |
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