Mr George Glen Massengill, LADAC is a
Counselor - Addiction (substance Use Disorder) based in Jacksboro, Tennessee. Mr George Glen Massengill is licensed to practice in Tennessee (license number 580) and his current practice location is
188 Indian Mound Cir, Jacksboro, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 566-2437.
NPI number for Mr George Glen Massengill is 1033447263 and his current mailing address is 188 Indian Mound Cir, Jacksboro, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033447263.
Healthcare Provider's Profile
| Full Name | Mr George Glen Massengill |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 188 Indian Mound Cir, Jacksboro, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033447263
- Provider Enumeration Date: 11/30/2009
- Last Update Date: 11/30/2009
Medical Identifiers
Medical identifiers for Mr George Glen Massengill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033447263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 580 (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. Mr George Glen Massengill 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 |
|---|
Mr George Glen Massengill, LADAC
188 Indian Mound Cir,
Jacksboro, TN 37757-2100
Ph: (423) 566-2437 | Mr George Glen Massengill, LADAC
188 Indian Mound Cir,
Jacksboro, TN 37757-2100
Ph: (423) 566-2437 |
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