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1301 Mccallie Ave Suite 200 Chattanooga TN 37404-2934 | |
| (423) 710-3864 | |
| (423) 710-3865 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Mccallie Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Michael T. Czarnecki (PHYSICIAN) |
| Authorized Official Contact | 4237103864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 8308 Chattanooga TN 37414-0308 Ph: (423) 710-3864 | 1301 Mccallie Ave Suite 200 Chattanooga TN 37404-2934 Ph: (423) 710-3864 |
| NPI Number | 1801037700 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 01/05/2011 |
| Medicare PECOS PAC ID | 5294860268 |
|---|---|
| Medicare Enrollment ID | O20100316000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801037700 | NPI | - | NPPES |
| Provider Name | Michael T Czarnecki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780774083 PECOS PAC ID: 8022157304 Enrollment ID: I20100316000407 |
| Provider Name | Tracy D Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982643649 PECOS PAC ID: 1456347194 Enrollment ID: I20100608000756 |
| Provider Name | Jonathan M Lenzen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275502510 PECOS PAC ID: 8426057134 Enrollment ID: I20210415002362 |
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