Sue Ellen Close, is a
Physical Medicine & Rehabilitation physician based in Lewisburg, Tennessee. Sue Ellen Close is licensed to practice in Tennessee (license number 489) and her current practice location is 1653 Mooresville Hwy, Lewisburg, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 359-4506.
NPI number for Sue Ellen Close is 1679040232 and her current mailing address is 1653 Mooresville Hwy, Lewisburg, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679040232.
Physician's Profile
| Full Name | Sue Ellen Close |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 1653 Mooresville Hwy, Lewisburg, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679040232
- Provider Enumeration Date: 10/31/2018
- Last Update Date: 10/31/2018
Medical Identifiers
Medical identifiers for Sue Ellen Close such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679040232 | NPI | - | NPPES |
| 489 | Other | TN | PHYSICAL THERPIST ASSISTANT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 489 (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. Sue Ellen Close 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 |
|---|
Sue Ellen Close,
1653 Mooresville Hwy,
Lewisburg, TN 37091-1413
Ph: (931) 359-4506 | Sue Ellen Close,
1653 Mooresville Hwy,
Lewisburg, TN 37091-1413
Ph: (931) 359-4506 |
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