Charles H. Wilkens, M.d.,p.c. | |
131 Hospital Ln Jellico TN 37762-4404 | |
(423) 784-7269 | |
Not Available |
Full Name | Charles H. Wilkens, M.d.,p.c. |
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Speciality | Clinic/Center |
Location | 131 Hospital Ln, Jellico, Tennessee |
Authorized Official Name and Position | Christy Timmins (CPC) |
Authorized Official Contact | 4237840269 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Charles H. Wilkens, M.d.,p.c. Po Box 447 Jellico TN 37762-0447 Ph: (423) 784-7269 | Charles H. Wilkens, M.d.,p.c. 131 Hospital Ln Jellico TN 37762-4404 Ph: (423) 784-7269 |
NPI Number | 1992841233 |
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Provider Enumeration Date | 01/30/2007 |
Last Update Date | 12/15/2023 |
Medicare PECOS PAC ID | 8224073432 |
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Medicare Enrollment ID | O20050628000034 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992841233 | NPI | - | NPPES |
35001320 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hcc Of Jellico Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7252 |