Lt360 Health Center P.a. is a medicare enrolled "Family Medicine" provider in Murfreesboro, Tennessee. Their current practice location is
522b Brandies Cir Ste 2, Murfreesboro, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(615) 610-6937.
Lt360 Health Center P.a. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lt360 Health Center P.a.
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 1528681194.
Healthcare Provider's Profile
| Full Name | Lt360 Health Center P.a. |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 522b Brandies Cir Ste 2, Murfreesboro, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528681194
- Provider Enumeration Date: 05/18/2020
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224452008
- Enrollment ID: O20200727002203
Medical Identifiers
Medical identifiers for Lt360 Health Center P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528681194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lt360 Health Center P.a. acts as a billing entity for following providers:
| Provider Name | Bryan C Sharpe |
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| Provider Type | Practitioner - Emergency Medicine |
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| Provider Identifiers | NPI Number: 1386683407
PECOS PAC ID: 7618010844
Enrollment ID: I20100609000268 |
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| Provider Name | Lindsay White |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1144611260
PECOS PAC ID: 7719207059
Enrollment ID: I20150527002637 |
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| Provider Name | James Taylor Hitson |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1891845764
PECOS PAC ID: 9537269196
Enrollment ID: I20190508001226 |
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| Provider Name | Gary K Adams |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1487772802
PECOS PAC ID: 9638270390
Enrollment ID: I20190827000287 |
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| Provider Name | Jennifer Massie |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1003351289
PECOS PAC ID: 8628492329
Enrollment ID: I20200727003161 |
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| Provider Name | Edward G. Witt |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1841239654
PECOS PAC ID: 9032127048
Enrollment ID: I20210407003098 |
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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. Lt360 Health Center P.a. 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 Address | Practice Location Address |
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Lt360 Health Center P.a.
522b Brandies Cir Ste 2,
Murfreesboro, TN 37128-4873
Ph: (615) 610-6937 | Lt360 Health Center P.a.
522b Brandies Cir Ste 2,
Murfreesboro, TN 37128-4873
Ph: (615) 610-6937 |
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