Professional Care Services Of West Tn, Inc. - Medicare Mental Health Clinic in Covington, TN

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Professional Care Services Of West Tn, Inc. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Covington, Tennessee. The current practice location for Professional Care Services Of West Tn, Inc. is 1997 Highway 51 S, Covington, Tennessee. For appointments, you can reach them via phone at (901) 476-8967. The mailing address for Professional Care Services Of West Tn, Inc. is 1997 Highway 51 S, Covington, Tennessee and phone number is (844) 727-2778.

Professional Care Services Of West Tn, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457351215. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (901) 476-8967.

Contact Information

Professional Care Services Of West Tn, Inc.
1997 Highway 51 S
Covington
TN 38019-3630
(901) 476-8967
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameProfessional Care Services Of West Tn, Inc.
SpecialityClinic/Center
Location1997 Highway 51 S, Covington, Tennessee
Authorized Official Name and PositionJimmie Jackson (CEO)
Authorized Official Contact9016221630
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Professional Care Services Of West Tn, Inc.
1997 Highway 51 S
Covington
TN 38019-3630

Ph: (844) 727-2778		Professional Care Services Of West Tn, Inc.
1997 Highway 51 S
Covington
TN 38019-3630

Ph: (901) 476-8967

NPI Details:

NPI Number1457351215
Provider Enumeration Date07/22/2005
Last Update Date02/26/2024
Certification Date02/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0042115537
Medicare Enrollment IDO20031208000128

Medical Identifiers

Medical identifiers for Professional Care Services Of West Tn, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457351215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
3336L0003XPharmacy - Long Term Care Pharmacy (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Professional Care Services Of West Tn, Inc. acts as a billing entity for following providers:
Provider NameMartha W Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942345525
PECOS PAC ID: 3173540424
Enrollment ID: I20051026001117
Provider NameLucas A Trautman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497978258
PECOS PAC ID: 4981742590
Enrollment ID: I20091118000465
Provider NameBelinda Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811214653
PECOS PAC ID: 4082730064
Enrollment ID: I20100928000116
Provider NameAnne M Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245586874
PECOS PAC ID: 5799934295
Enrollment ID: I20121003000250
Provider NameAlam E Sharifi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669873774
PECOS PAC ID: 8224353123
Enrollment ID: I20150218000606
Provider NameSarah A Dietrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396149951
PECOS PAC ID: 6507183381
Enrollment ID: I20150317000833
Provider NameShellie R Hendren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841470366
PECOS PAC ID: 8820398803
Enrollment ID: I20180829001051
Provider NameChristy Goforth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548727522
PECOS PAC ID: 9830422765
Enrollment ID: I20190610000568
Provider NameAmanda Young
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669844023
PECOS PAC ID: 1456787100
Enrollment ID: I20200129000541
Provider NameChristen L Carter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982378683
PECOS PAC ID: 6800282716
Enrollment ID: I20220401000455
Provider NameBrandy Rose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669051751
PECOS PAC ID: 8729454202
Enrollment ID: I20221025002261
Provider NameMarissa M Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235867821
PECOS PAC ID: 5496123846
Enrollment ID: I20221116001949
Provider NameMonika Hicks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629796750
PECOS PAC ID: 6204291917
Enrollment ID: I20230503000364
Provider NameNicole Mclemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063131316
PECOS PAC ID: 0042671919
Enrollment ID: I20230726000091
Provider NameLatonia Lewis
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1699353714
PECOS PAC ID: 8426401464
Enrollment ID: I20240126000462
Provider NameSara Hawkins
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1295964443
PECOS PAC ID: 7719320407
Enrollment ID: I20240209001517
Provider NameRicci Hellman
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1871817627
PECOS PAC ID: 0648611822
Enrollment ID: I20240520000647
Provider NameShunda L Mccoy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1144368192
PECOS PAC ID: 2769924224
Enrollment ID: I20240612000600

Reviews and Comments

Clinic/Center in Covington, TN

Restore Mental Health Pllc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 145 W Church Ave, Covington, TN 38019
Phone: 901-481-1759    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.