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    • ALL DEVICES
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THE DETAILS

See below for new patient paperwork and other documents, insurance and billing information, prescription information, and lab contact information.

P A P E R W O R K

If you are a new patient, please either print and bring the completed forms when you come or email completed forms to MurfreesboroSkin@gmail.com prior to your appointment. Thank you. 

NEW PATIENT FORMS NONMEDICARE (pdf)Download
NEW PATIENT FORMS MEDICARE (pdf)Download
AESTHETIC CONSULTATION QUESTIONNAIRE (pdf)Download
MINOR PATIENT TREATMENT CONSENT (pdf)Download
MEDICAL RECORDS RELEASE REQUEST (pdf)Download
PATIENT PHOTOGRAPHY RELEASE (pdf)Download
NOTICE OF PRIVACY PRACTICES (pdf)Download
INSURANCE AND BILLING PRACTICES (pdf)Download

INSURANCE PLANS

Our office is in network with the following insurance plans:


  • Blue Cross Blue Shield 
  • Medicare
  • AETNA
  • United Healthcare
  • Cigna
  • Farm Bureau
  • UMR
  • Amerigroup
  • PHCS I Multiplan
  • Ascension


Deductibles and copays apply and are part of our contracts with your insurance plan. Please see our billing policy for more information.

We are working to add more insurance plans. At this time there are a few that are not accepting new providers. We will continue to monitor for availability as we are striving to be available with all plans our patients need. You may also call your insurance company and request they add us to their network!

If you have further questions regarding your insurance plan, please contact your insurance company or our office.

For established patients with questions regarding your bill, please contact our billing specialist, Amber.  If you receive voicemail, please allow 48 business hours for her to return your call. See link below. 

Speak with Billing Specialist

SELF-PAY PATIENTS

We understand that every patient is unique, including their financial circumstances. We offer a reasonable self-pay fee schedule for those who choose to pay up front for their medical visit and service.  

Please inquire for more information. 

Call Now

PRESCRIPTION INFO

Prescription medications are becoming increasingly difficult to get for patients. This is due to many factors including insurance company's approval.  Please note we have no control over what medications your insurance approves or the cost of these medications.  Many times, it involves hours of paperwork and communication between our office, you, your insurance company, and the pharmacy.  Even then, there are no guarantees.  Our office prides itself on having no disclosures as we are only interested in getting the medication we think will provide the most benefit. We also utilize many pharmacies and try to work with ones that serve you best.  We are not endorsing any listed pharmacy as this is simply a contact information tool if your prescription was sent to one of the listed facilities. Please use patience as we endeavor through the prescription process if needed, especially for branded medications.  In addition, we typically do not perform prior authorizations for generic medications as these are available at affordable pricing with many pharmacies and discount programs such as "GoodRx." Thank you for your understanding.

GoodRx

PHARMACY INFORMATION

Apotheco Pharmacy

Big Country Pharmacy

Big Country Pharmacy

Phone  | (615) 850-7969  

Address  |  3443 Dickerson Pk #110

                  Nashville, TN 37207 

Apotheco Website

Big Country Pharmacy

Big Country Pharmacy

Big Country Pharmacy

Phone  |  (931) 487-1700

Address  |  1229 Reserve Blvd. #100A

                   Spring Hill, TN

Big Country Website

Blink Pharmacy

Big Country Pharmacy

Cost Plus Pharmacy

Phone  |  (844) 926-2480

Address  |  1407 Broadway #1910
                 New York, NY 10018

Blink Rx Website

Cost Plus Pharmacy

Cost Plus Pharmacy

Cost Plus Pharmacy

This pharmacy is only available online. Patients must visit website and create a portal account to use this service. 

Cost Plus Website

Hermitage Pharmacy

Cost Plus Pharmacy

Hermitage Pharmacy

Phone  |  (615) 454-3300

Address  | 3786 Central Pike #120
                 Hermitage, TN 37076

Hermitage Website

Integra Pharmacy

Cost Plus Pharmacy

Hermitage Pharmacy

Phone  |  (615) 682-8472

Address  |  318 E College St STE 102
                 Dickson, TN 37055

Integra Website

Medrock Pharmacy

TwelveStone Pharmacy

Music City Pharmacy

Phone  |  (423) 933-1610

Address  |  6116 Shallowford Rd #105
                 Chattanooga, TN 37421

Medrock Website

Music City Pharmacy

TwelveStone Pharmacy

Music City Pharmacy

Phone  |  (615) 750-2707

Address  | 1900 Patterson St. #200
                 Nashville, TN 37203

Music City Pharmacy

TwelveStone Pharmacy

TwelveStone Pharmacy

TwelveStone Pharmacy

Phone  |  (844) 893-0012

Address  |  352 W Northfield Blvd.
                 Murfreesboro, TN 37129

TwelveStone Website

LAB INFORMATION

Lab Contact Information

We utilize the lab facilities we believe to provide the best diagnostic tools for our patients.  Please reach out to the lab directly with any billing concerns you receive from them.  Please also make sure your correspondence is not simply an "Explanation of Benefits" or "EOB" from your insurance company rather than a billing statement from the lab directly. These "EOB's" are often not an accurate representation of what you will be financially responsible for.  See list below for contact information for labs we utilize.  


American Esoteric Laboratories

American Esoteric Laboratories

American Esoteric Laboratories

Speak with AEL

DermTech

American Esoteric Laboratories

American Esoteric Laboratories

Speak with DermTech

Pathology Associates of St. Thomas

Pathology Associates of St. Thomas

Pathology Associates of St. Thomas

Speak with St. Thomas Path

Vikor Scientific

Pathology Associates of St. Thomas

Pathology Associates of St. Thomas

Speak with Vikor Scientific

AEL LAB LOCATIONS

AEL Locations (pdf)Download
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GILLIE Aesthetics I Dermatology

1602 W Northfield Blvd, Suite 300, Murfreesbroro, TN 37129

Phone l (615) 801-7674 Fax l (615) 281-3356

Copyright © 2024 GILLIE Aesthetics l Dermatology. All Rights Reserved.

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