Triumph Agility Care, Llc - Medicare in Memphis, TN

Triumph Agility Care, Llc is a medicare enrolled "Nurse Practitioner - Family" provider in Memphis, Tennessee. Their current practice location is 3385 Airways Blvd Ste 219, Memphis, Tennessee. You can reach out to their office (for appointments etc.) via phone at (601) 540-4386.

Triumph Agility Care, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Triumph Agility Care, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1033832514.

Contact Information

Triumph Agility Care, Llc
3385 Airways Blvd Ste 219,
Memphis, TN 38116-3808
(601) 540-4386
Not Available



Healthcare Provider's Profile

Full NameTriumph Agility Care, Llc
TypeFacility
SpecialityNurse Practitioner - Family
Location3385 Airways Blvd Ste 219, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033832514
  • Provider Enumeration Date: 09/20/2022
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678940764
  • Enrollment ID: O20221102001557

Medical Identifiers

Medical identifiers for Triumph Agility Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033832514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Triumph Agility Care, Llc acts as a billing entity for following providers:
Provider NameTanya K Mccaskill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396383238
PECOS PAC ID: 8123216892
Enrollment ID: I20221102001622

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Provider NameTammara Jackson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255981296
PECOS PAC ID: 3072980911
Enrollment ID: I20221104001436

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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. Triumph Agility Care, Llc 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
Triumph Agility Care, Llc
1364 Ashley Cv,
Southaven, MS 38671-6426

Ph: (601) 540-4386
Triumph Agility Care, Llc
3385 Airways Blvd Ste 219,
Memphis, TN 38116-3808

Ph: (601) 540-4386

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› Verified 8 days ago



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