Clear Fork Clinic | |
5663 Hwy 90 Clairfield TN 37715 | |
(423) 784-6135 | |
(423) 784-8615 |
Full Name | Clear Fork Clinic |
---|---|
Speciality | Clinic/Center |
Location | 5663 Hwy 90, Clairfield, Tennessee |
Authorized Official Name and Position | Mark Watt (CEO) |
Authorized Official Contact | 4237848492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Clear Fork Clinic 107 S Main St P.o. Box 540 Jellico TN 37762-2154 Ph: (423) 784-8492 | Clear Fork Clinic 5663 Hwy 90 Clairfield TN 37715 Ph: (423) 784-6135 |
NPI Number | 1013049469 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 09/09/2020 |
Medicare PECOS PAC ID | 7214990746 |
---|---|
Medicare Enrollment ID | O20041215000423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013049469 | NPI | - | NPPES |
65903148 | Medicaid | KY | |
0395390 | Other | TN | UMWA |
4447807 | Medicaid | TN | |
702210 | Other | TN | BLACK LUNG |
Provider Name | Cathleen C Suto |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1013902527 PECOS PAC ID: 8224103692 Enrollment ID: I20080819000847 |
Provider Name | Geogy Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891798492 PECOS PAC ID: 3971795873 Enrollment ID: I20101209000949 |
Provider Name | James Wendell Killian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649273467 PECOS PAC ID: 8729111844 Enrollment ID: I20111123000548 |
Provider Name | Megan Rae Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639617939 PECOS PAC ID: 4880967371 Enrollment ID: I20170920000582 |
Provider Name | Lindsey Patrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952772394 PECOS PAC ID: 3173824182 Enrollment ID: I20171114001431 |
Provider Name | Tiffany Lu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811379266 PECOS PAC ID: 6901188226 Enrollment ID: I20190321002560 |
Provider Name | Rebekkah M Witten |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477891232 PECOS PAC ID: 0042531725 Enrollment ID: I20190401001743 |
Provider Name | Anne Steptoe |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386171254 PECOS PAC ID: 1557632858 Enrollment ID: I20230516001975 |
Provider Name | Christy Renee Elliott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275247306 PECOS PAC ID: 3375905367 Enrollment ID: I20230808001161 |
Provider Name | Radha Reddy |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1780652073 PECOS PAC ID: 0648218875 Enrollment ID: I20240103001479 |
Provider Name | Kenneth Alcorn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346621240 PECOS PAC ID: 6204169667 Enrollment ID: I20240125000583 |
Provider Name | Lindsay Ledwich |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1124227103 PECOS PAC ID: 2961553896 Enrollment ID: I20240503000212 |