| Barbara D Hawkes Pc | |
|
378 Carriage House Dr Ste F Jackson TN 38305-2254 | |
| (731) 664-1922 | |
| (731) 664-0779 |
| Full Name | Barbara D Hawkes Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 378 Carriage House Dr Ste F, Jackson, Tennessee |
| Authorized Official Name and Position | Barbara D Hawkes (OWNER) |
| Authorized Official Contact | 7316641922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara D Hawkes Pc 378 Carriage House Dr Ste F Jackson TN 38305-2254 Ph: (731) 664-1922 | Barbara D Hawkes Pc 378 Carriage House Dr Ste F Jackson TN 38305-2254 Ph: (731) 664-1922 |
| NPI Number | 1659574549 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5496855314 |
|---|---|
| Medicare Enrollment ID | O20070706000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659574549 | NPI | - | NPPES |
| 3925625 | Medicaid | TN | |
| 4035054 | Other | TN | BCBS OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | TNLSW355 (Tennessee) | Primary |
| Provider Name | Barbara D Hawkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851465892 PECOS PAC ID: 3577663491 Enrollment ID: I20070706000436 |
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