Bradley Polk Walk In Clinic - Medicare Primary Care in Ocoee, TN

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Bradley Polk Walk In Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Ocoee, Tennessee. The current practice location for Bradley Polk Walk In Clinic is 119 White Water Dr, Ocoee, Tennessee. For appointments, you can reach them via phone at (423) 299-9435. The mailing address for Bradley Polk Walk In Clinic is 119 White Water Dr, Ocoee, Tennessee and phone number is (423) 299-9435.

Bradley Polk Walk In Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770929333. 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 (423) 299-9435.

Contact Information

Bradley Polk Walk In Clinic
119 White Water Dr
Ocoee
TN 37361-3645
(423) 299-9435
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBradley Polk Walk In Clinic
SpecialityClinic/Center
Location119 White Water Dr, Ocoee, Tennessee
Authorized Official Name and PositionTami Solberg Brehen (CO-OWNER)
Authorized Official Contact4232999435
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradley Polk Walk In Clinic
119 White Water Dr
Ocoee
TN 37361-3645

Ph: (423) 299-9435		Bradley Polk Walk In Clinic
119 White Water Dr
Ocoee
TN 37361-3645

Ph: (423) 299-9435

NPI Details:

NPI Number1770929333
Provider Enumeration Date05/21/2013
Last Update Date11/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID0547404931
Medicare Enrollment IDO20130925000716

Medical Identifiers

Medical identifiers for Bradley Polk Walk In Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770929333NPI-NPPES
Q002302MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
363LF0000XNurse Practitioner - Family APN15727 (Tennessee)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bradley Polk Walk In Clinic acts as a billing entity for following providers:
Provider NameAzhar S Sheikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013972538
PECOS PAC ID: 2365472529
Enrollment ID: I20050817000332
Provider NameAnne R Neumann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023025301
PECOS PAC ID: 3678570496
Enrollment ID: I20061108000420
Provider NameAhmad M. Ibrahimbacha
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1043266752
PECOS PAC ID: 3779663018
Enrollment ID: I20100922000075
Provider NameTami Brehen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700185469
PECOS PAC ID: 1759565070
Enrollment ID: I20110412000360
Provider NameBethany Randolph Hogan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326487752
PECOS PAC ID: 0143460063
Enrollment ID: I20130717000109
Provider NameStacy K Whitehead
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275969081
PECOS PAC ID: 0042436966
Enrollment ID: I20140729001371
Provider NameDora D Trivette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376947085
PECOS PAC ID: 2668797804
Enrollment ID: I20150211001314
Provider NameCameron A Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730602087
PECOS PAC ID: 1850665845
Enrollment ID: I20170914000467
Provider NameAmanda Ann Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467935817
PECOS PAC ID: 4880931245
Enrollment ID: I20190123004221
Provider NameLana Elliott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255856480
PECOS PAC ID: 4688911910
Enrollment ID: I20190124002620
Provider NameTara A Sane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417204132
PECOS PAC ID: 8022267061
Enrollment ID: I20190313001788
Provider NameStephanie Hamel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780234484
PECOS PAC ID: 7214361153
Enrollment ID: I20191230002416
Provider NameAmanda Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316546492
PECOS PAC ID: 9638582083
Enrollment ID: I20210105000257
Provider NameMorgan Elyse Ikeorha
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528657806
PECOS PAC ID: 1658786256
Enrollment ID: I20210211002749
Provider NameElizabeth Ellis Kenemer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568715050
PECOS PAC ID: 5597917906
Enrollment ID: I20210218003123
Provider NameVictoria Knight
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366215634
PECOS PAC ID: 2668821588
Enrollment ID: I20231218000831

Reviews and Comments


Clinic/Center in Ocoee, TN

Elijahs Dream Compassionate Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 134 Creekside Dr Ste 1, Ocoee, TN 37361
Phone: 423-299-9491    Fax: 423-299-9365

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.