Serena Proudfoot, FNP-C - Medicare Nurse Practitioner in Ardmore, TN

Serena Proudfoot, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ardmore, Tennessee. Her current practice location is 26150 Main St, Ardmore, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 207-9297.

Serena Proudfoot is licensed to practice in Tennessee (license number 31302) 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 1497417232.

Contact Information

Serena Proudfoot, FNP-C
26150 Main St,
Ardmore, TN 38449-3158
(931) 207-9297
(931) 209-9298



Provider's Profile

Full NameSerena Proudfoot
GenderFemale
SpecialityNurse Practitioner - Family
Location26150 Main St, Ardmore, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497417232
  • Provider Enumeration Date: 10/08/2021
  • Last Update Date: 11/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254711310
  • Enrollment ID: I20220706003975

Medical Identifiers

Medical identifiers for Serena Proudfoot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497417232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 31302 (Tennessee)Primary
363LF0000XNurse Practitioner - Family F09211477 (Alabama)Secondary

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. Serena Proudfoot allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

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Entity NameCelebration Family Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891053823
PECOS PAC ID: 4385883172
Enrollment ID: O20130627000429

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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. Serena Proudfoot 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
Serena Proudfoot, FNP-C
26150 Main St,
Ardmore, TN 38449-3158

Ph: (931) 207-9297
Serena Proudfoot, FNP-C
26150 Main St,
Ardmore, TN 38449-3158

Ph: (931) 207-9297

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Nurse Practitioner Nurses in Ardmore, TN

Deborah Ruth Verbeek, CFNP, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25495 Main St, Ardmore, TN 38449
Phone: 931-427-6969    Fax: 931-427-6967
Nicholas Christofidis, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 25495 Main St, Ardmore, TN 38449
Phone: 931-427-6969    Fax: 931-427-6967
Diego Alejandro Cacho-tovar, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 26150 Main St, Ardmore, TN 38449
Phone: 931-207-9297    Fax: 931-209-9298

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