URSULA TREADAWAY PA-C
NPI 1104364918
Physician Assistant in Kodak, TN
About Ursula Treadaway Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
URSULA TREADAWAY PA-C (NPI 1104364918) is an individual physician assistant in Kodak, Tennessee and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ursula Treadaway Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37764 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KODAK, TN 37764
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ursula Treadaway's NPI number?
The NPI number for Ursula Treadaway is 1104364918. It was assigned to this individual provider in the NPPES registry on February 1, 2017.
Where is Ursula Treadaway located?
Ursula Treadaway practices at 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764. The listed phone number is (652) 815-9228.
What is Ursula Treadaway's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ursula Treadaway enrolled in Medicare?
Yes. Ursula Treadaway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ursula Treadaway accept?
Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Ursula Treadaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ursula Treadaway was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ursula Treadaway, PA-C · NPI 1104364918
Physician Assistant physician in Kodak, Tennessee. Individual provider, active in the CMS NPPES registry since February 1, 2017.
## Identity
- **NPI:** 1104364918 (Entity type: Individual)
- **Enumerated:** February 1, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3609 OUTDOOR SPORTSMAN PL STE 7, Kodak, TN 37764-1477
- **Phone:** (652) 815-9228 · **Fax:** (865) 766-5396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lincoln Memorial University Medical Department, class of 2011
## Record status
- **NPPES last updated:** December 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104364918) · Data from the CMS NPPES public registry.