Southwell Medical Llc. is a
Nurse Practitioner based in Knoxville, Tennessee. Southwell Medical Llc. is licensed to practice in * (Not Available) (license number ) and their current practice location is
207 Lake Forest Dr, Knoxville, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(865) 455-4817.
NPI number for Southwell Medical Llc. is 1003520966 and their current mailing address is 207 Lake Forest Dr, Knoxville, Tennessee. Southwell Medical Llc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003520966.
Healthcare Provider's Profile
Full Name | Southwell Medical Llc. |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 207 Lake Forest Dr, Knoxville, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003520966
- Provider Enumeration Date: 01/05/2023
- Last Update Date: 01/05/2023
Medical Identifiers
Medical identifiers for Southwell Medical Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003520966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | 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. Southwell Medical Llc. 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 |
Southwell Medical Llc. 207 Lake Forest Dr, Knoxville, TN 37920-5144 Ph: (865) 455-4817 | Southwell Medical Llc. 207 Lake Forest Dr, Knoxville, TN 37920-5144 Ph: (865) 455-4817 |
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