Health Management Services | |
2292 Chambliss Ave Nw Suite C Cleveland TN 37311-3862 | |
(423) 479-5672 | |
(423) 479-5679 |
Full Name | Health Management Services |
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Speciality | Psychologist |
Location | 2292 Chambliss Ave Nw, Cleveland, Tennessee |
Authorized Official Name and Position | Owen(tom) A. Biller (CLINICAL DIRECTOR) |
Authorized Official Contact | 4234795672 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Health Management Services Po Box 2965 Cleveland TN 37320-2965 Ph: (423) 479-5672 | Health Management Services 2292 Chambliss Ave Nw Suite C Cleveland TN 37311-3862 Ph: (423) 479-5672 |
NPI Number | 1912047671 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 01/04/2010 |
Medicare PECOS PAC ID | 6507993615 |
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Medicare Enrollment ID | O20100422000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912047671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | P0000000463 (Tennessee) | Primary |
Provider Name | Owen A Biller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689730384 PECOS PAC ID: 7416084538 Enrollment ID: I20100422000004 |
Provider Name | Benjamin Biller |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1861556482 PECOS PAC ID: 8921438797 Enrollment ID: I20200417002367 |
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