Due West Family Healthcare Inc | |
607 W Due West Ave Ste 102 Madison TN 37115-4420 | |
(615) 868-2229 | |
(931) 393-2247 |
Full Name | Due West Family Healthcare Inc |
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Speciality | Family Medicine |
Location | 607 W Due West Ave Ste 102, Madison, Tennessee |
Authorized Official Name and Position | Pat York (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 6158682229 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Due West Family Healthcare Inc 607 W Due West Ave Ste 102 Madison TN 37115-4420 Ph: (615) 868-2229 | Due West Family Healthcare Inc 607 W Due West Ave Ste 102 Madison TN 37115-4420 Ph: (615) 868-2229 |
NPI Number | 1457346702 |
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Provider Enumeration Date | 09/13/2005 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 4486640570 |
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Medicare Enrollment ID | O20040423000280 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457346702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD20429 (Tennessee) | Primary |
Provider Name | Harry J Bonnaire |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083609481 PECOS PAC ID: 3678472297 Enrollment ID: I20040102000557 |
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Centerwell Senior Primary Care-madison Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Gallatin Pike North, Madison, TN 37115 Phone: 615-988-4055 Fax: 877-721-6419 | |
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