Experienced Care Clinic Inc. is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Pound, Virginia. The current practice location for Experienced Care Clinic Inc. is 8008 Main St, Pound, Virginia. For appointments, you can reach them via phone at
(276) 796-4586. The mailing address for Experienced Care Clinic Inc. is Po Box 908, Pound, Virginia and phone number is () -.
Experienced Care Clinic Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1285079558. 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
(276) 796-4586.
Primary Care Clinic Profile
| Full Name | Experienced Care Clinic Inc. |
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| Speciality | Nurse Practitioner |
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| Location | 8008 Main St, Pound, Virginia |
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| Authorized Official Name and Position | Tammy Branham (OWNER) |
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| Authorized Official Contact | 2763938284 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Experienced Care Clinic Inc.
Po Box 908
Pound
VA 24279-0908
Ph: () - | Experienced Care Clinic Inc.
8008 Main St
Pound
VA 24279-0000
Ph: (276) 796-4586 |
NPI Details:
| NPI Number | 1285079558 |
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| Provider Enumeration Date | 05/01/2013 |
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| Last Update Date | 09/11/2024 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2668616939 |
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| Medicare Enrollment ID | O20130926000727 |
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Medical Identifiers
Medical identifiers for Experienced Care Clinic Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285079558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Experienced Care Clinic Inc. acts as a billing entity for following providers:
| Provider Name | Tammy A Branham |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1518218528
PECOS PAC ID: 3375736812
Enrollment ID: I20130926000788 |
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