Castle Clinic Plc is a
Nurse Practitioner based in Johnson City, Tennessee. Castle Clinic Plc is licensed to practice in * (Not Available) (license number ) and their current practice location is
1416 S Roan St, Johnson City, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(423) 979-6257.
NPI number for Castle Clinic Plc is 1447260765 and their current mailing address is 1416 S Roan St, Johnson City, Tennessee. Castle Clinic Plc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1447260765.
Healthcare Provider's Profile
| Full Name | Castle Clinic Plc |
|---|
| Type | Facility |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 1416 S Roan St, Johnson City, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447260765
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Castle Clinic Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447260765 | NPI | - | NPPES |
| 3721557 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208200000X | Plastic Surgery | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | 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. Castle Clinic Plc 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 |
|---|
Castle Clinic Plc
1416 S Roan St,
Johnson City, TN 37601-7332
Ph: (423) 979-6257 | Castle Clinic Plc
1416 S Roan St,
Johnson City, TN 37601-7332
Ph: (423) 979-6257 |
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