Clark Family Practice, Pllc in Nashville, TN

Clark Family Practice, Pllc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Nashville, Tennessee. The current practice location for Clark Family Practice, Pllc is 3443 Dickerson Pike Ste 660, Nashville, Tennessee. For appointments, you can reach them via phone at (615) 988-1109. The mailing address for Clark Family Practice, Pllc is 3443 Dickerson Pike Ste 660, Nashville, Tennessee and phone number is (615) 988-1109.

Clark Family Practice, Pllc is licensed to practice in Tennessee (license number 20179). The clinic also participates in the medicare program and its NPI number is 1396250155. 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 (615) 988-1109.

Contact Information

	Clark Family Practice, Pllc
	3443 Dickerson Pike Ste 660 Nashville TN 37207-2519
	(615) 988-1109
	(949) 798-7514

Map and Direction

Primary Care Clinic Profile

Full Name	Clark Family Practice, Pllc
Speciality	Clinic/Center
Location	3443 Dickerson Pike Ste 660, Nashville, Tennessee
Authorized Official Name and Position	Russell Clark (OWNER)
Authorized Official Contact	6159881109
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clark Family Practice, Pllc 3443 Dickerson Pike Ste 660 Nashville TN 37207-2519 Ph: (615) 988-1109	Clark Family Practice, Pllc 3443 Dickerson Pike Ste 660 Nashville TN 37207-2519 Ph: (615) 988-1109

NPI Details:

NPI Number	1396250155
Provider Enumeration Date	12/02/2017
Last Update Date	04/26/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	8921369489
Medicare Enrollment ID	O20180731001972

Medical Identifiers

Medical identifiers for Clark Family Practice, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396250155	NPI	-	NPPES
Q034840	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	20179 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clark Family Practice, Pllc acts as a billing entity for following providers:

Provider Name	Russell L Clark
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1548641087 PECOS PAC ID: 3870801525 Enrollment ID: I20150930001720

Provider Name	Sarah Elizabeth Ryan
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1356890982 PECOS PAC ID: 2365727633 Enrollment ID: I20170329000537

Reviews and Comments

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Clark Family Practice, Pllc - Medicare Primary Care in Nashville, TN