ENGLISH FLACK MD
NPI 1003010588
Pediatrics - Pediatric Cardiology in Nashville, TN

NPI Status: Active since June 11, 2007

Contact Information

2200 CHILDRENS WAY
SUITE 5230
NASHVILLE, TN
ZIP 37232
Phone: (615) 322-7447

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  • Individual
  • Female
  • Years of Experience 17
  • Pediatrics
  • Pediatric Cardiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ENGLISH FLACK

English Flack is a pediatrician established in Nashville, Tennessee and her medical specialization is Pediatrics with a focus in pediatric cardiology with more than 17 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1003010588 assigned on June 2007. The practitioner's primary taxonomy code is 2080P0202X with license number 46401 (TN). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1003010588
Provider Name
ENGLISH FLACK MD
Gender
Female
Entity Type
Individual
Location Address
2200 CHILDRENS WAY SUITE 5230 NASHVILLE, TN 37232
Location Phone
(615) 322-7447
Mailing Address
3841 GREEN HILLS VILLAGE DR STE 200 NASHVILLE, TN 37215
Mailing Phone
(615) 936-2000
Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
06-11-2007
Last Update Date
03-25-2022
Code Navigator

A pediatrician like English Flack is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

English Flack is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
License No.
46401
License State
TN
Taxonomy Description
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Alliant Health Plans

    • SoloCare Bronze No Referral HMO Chiro HDHP 7050 - HMO
    • SoloCare Bronze No Referral HMO HDHP 7050 - HMO
    • SoloCare Bronze PPO Chiro HDHP 7050 - PPO
    • SoloCare Bronze PPO HDHP 7050 - PPO
    • SoloCare Catastrophic No Referral HMO - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • Cigna Healthcare

    • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
  • Oscar Insurance Company

    • Bronze Classic 4700 - EPO
    • Bronze Classic PCP Saver Plus - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Bronze Simple 2 - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

English Flack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103053871

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20131230001703

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003010588
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003010516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 0 + 5 + 1 + 6 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003010588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235207796 LINDSEY ELIZABETH HERNANDEZ PNP
Individual
Nurse Practitioner (Pediatrics)2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 343-2996
1003963802DR. MICHAEL WARREN MD
Individual
Pediatrics2200 CHILDRENS WAY DOT 8232
NASHVILLE, TN 37232
(615) 936-2425
1285830810DR. ANDREW ALAN BREMER M.D., PHD
Individual
Pediatrics (Pediatric Endocrinology)2200 CHILDRENS WAY 11136 DOCTORS' OFFICE TOWER
NASHVILLE, TN 37232
(615) 936-1874
1699966077MR. CHRISTOPHER HARRISSON DUBEN APN
Individual
Nurse Practitioner (Pediatrics)2200 CHILDRENS WAY PERIOPERATIVE SERVICES - PATCH CLINIC
NASHVILLE, TN 37232
(615) 936-1840
1558546069MRS. JENNIFER PRICE MANFRE MSN, RNC, NNP
Individual
Nurse Practitioner (Neonatal)2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 322-0963
1164609319VANDERBILT MEDICAL CENTER
Organization
General Acute Care Hospital (Children)2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 936-0027
1912174087DR. JOY E BECK PH.D.
Individual
Psychologist (Clinical Child & Adolescent)2200 CHILDRENS WAY VANDERBILT CHILDREN'S HOSPITAL, 11128 DOT
NASHVILLE, TN 37232
(615) 936-0272
1255577466MONROE CARELL JR VANDERBILT CHILDREN'S HOSPITAL
Organization
General Acute Care Hospital (Children)2200 CHILDRENS WAY SUITE 4150
NASHVILLE, TN 37232
(615) 936-2105
1720211162 MICHELLE FRANCINE GRANT APN
Individual
Nurse Practitioner (Family)2200 CHILDRENS WAY ROOM 3209
NASHVILLE, TN 37232
(615) 936-1458
1063745834 WALTER M ROBINSON MD
Individual
Pediatrics (Pediatric Pulmonology)2200 CHILDRENS WAY 11215 DOCTOR'S OFFICE TOWER
NASHVILLE, TN 37232
(615) 343-7575
1801199047MRS. CAREY FLOYD MCDONALD MSN, CPNP-AC
Individual
Nurse Practitioner (Pediatrics)2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 480-2431
1548551526 KARI SCHNEIBEL M.D.
Individual
Student in an Organized Health Care Education/Training Program2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 936-1000
1710253703MRS. TIFFANY SPAHN ATKINSON CNS
Individual
Clinical Nurse Specialist2200 CHILDRENS WAY 6013 VCH
NASHVILLE, TN 37232
(615) 343-1225
1588711477DR. MADHUMITA ANANTHAKRISHNAN MURPHY MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2200 CHILDRENS WAY 5121 DOT
NASHVILLE, TN 37232
(615) 936-3968
1154391852DR. STEPHANIE E SPOTTSWOOD MD
Individual
Radiology (Pediatric Radiology)2200 CHILDRENS WAY STE 1418
NASHVILLE, TN 37232
(615) 936-4943
1841538477 STEPHANIE PROTHRO FNP
Individual
Nurse Practitioner (Family)2200 CHILDRENS WAY DOCTORS OFFICE TOWER, FLOOR 5
NASHVILLE, TN 37232
(615) 322-7447
1366796054MRS. EMILY WELTON PFEFFER N.P.-C
Individual
Nurse Practitioner (Family)2200 CHILDRENS WAY
NASHVILLE, TN 37232
(615) 440-6614
1770929903DR. CAROLINA WILCOX CLARK M.D., M.P.H.
Individual
Student in an Organized Health Care Education/Training Program2200 CHILDRENS WAY 8161 DOT
NASHVILLE, TN 37232
(615) 322-3023
1689871014 CARLA COLLADO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)2200 CHILDRENS WAY 11111 DOCTORS OFFICE TOWER
NASHVILLE, TN 37232
(615) 936-5953
1700933686 TRUC LE MD
Individual
Pediatrics (Pediatric Critical Care Medicine)2200 CHILDRENS WAY 5121 DOCTORS OFFICE TOWER
NASHVILLE, TN 37232
(615) 936-1305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003010588, enumerated in the NPI registry as an "individual" on June 11, 2007

The provider is located at 2200 Childrens Way Suite 5230 Nashville, Tn 37232 and the phone number is (615) 322-7447

The provider's speciality is Pediatrics with taxonomy code 2080P0202X with a focus in Pediatric Cardiology

The provider has more than 17 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 2007.

The provider might be accepting Accepts: Alliant Health Plans, Ambetter from Arkansas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 17, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.