Justine Elenna Bynum, is a
Counselor - Mental Health based in Somerville, Tennessee. Justine Elenna Bynum is licensed to practice in Tennessee (license number 6499) and her current practice location is
2250 Hall Dr, Somerville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 487-5002.
NPI number for Justine Elenna Bynum is 1225729890 and her current mailing address is 2250 Hall Dr, Somerville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225729890.
Healthcare Provider's Profile
| Full Name | Justine Elenna Bynum |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 2250 Hall Dr, Somerville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225729890
- Provider Enumeration Date: 05/16/2023
- Last Update Date: 05/16/2023
Medical Identifiers
Medical identifiers for Justine Elenna Bynum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225729890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 6499 (Tennessee) | Primary |
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. Justine Elenna Bynum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Justine Elenna Bynum,
2250 Hall Dr,
Somerville, TN 38068-4585
Ph: (901) 487-5002 | Justine Elenna Bynum,
2250 Hall Dr,
Somerville, TN 38068-4585
Ph: (901) 487-5002 |
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