| Family Medicine Of Jonesborough Llc | |
|
806 E Jackson Blvd Suite 8 Jonesborough TN 37659-1546 | |
| (423) 788-0123 | |
| (423) 788-0124 |
| Full Name | Family Medicine Of Jonesborough Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 806 E Jackson Blvd, Jonesborough, Tennessee |
| Authorized Official Name and Position | Michael E Jewett (PRESIDENT) |
| Authorized Official Contact | 4237880123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Jonesborough Llc 806 E Jackson Blvd Suite 8 Jonesborough TN 37659-1546 Ph: (423) 788-0123 | Family Medicine Of Jonesborough Llc 806 E Jackson Blvd Suite 8 Jonesborough TN 37659-1546 Ph: (423) 788-0123 |
| NPI Number | 1346250644 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335141274 |
|---|---|
| Medicare Enrollment ID | O20070206000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346250644 | NPI | - | NPPES |
| 3735554 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael E Jewett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780648063 PECOS PAC ID: 0446251250 Enrollment ID: I20070122000574 |
Jonesborough Community Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 Boones Creek Rd Ste 1, Jonesborough, TN 37659 Phone: 423-788-3455 Fax: 423-788-0295 | |
Washington Co - Jonesborough Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Cherokee St Ste 3, Jonesborough, TN 37659 Phone: 423-753-0744 Fax: 423-753-4997 |