Family Medicine Of Jonesborough Llc is a medicare enrolled primary clinic (Family Medicine) in Jonesborough, Tennessee. The current practice location for Family Medicine Of Jonesborough Llc is 806 E Jackson Blvd, Suite 8, Jonesborough, Tennessee. For appointments, you can reach them via phone at
(423) 788-0123. The mailing address for Family Medicine Of Jonesborough Llc is 806 E Jackson Blvd, Suite 8, Jonesborough, Tennessee and phone number is (423) 788-0123.
Family Medicine Of Jonesborough Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1346250644. 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
(423) 788-0123.
Primary Care Clinic Profile
| Full Name | Family Medicine Of Jonesborough Llc |
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| Speciality | Family Medicine |
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| Location | 806 E Jackson Blvd, Jonesborough, Tennessee |
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| Authorized Official Name and Position | Michael E Jewett (PRESIDENT) |
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| Authorized Official Contact | 4237880123 |
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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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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 Details:
| NPI Number | 1346250644 |
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| Provider Enumeration Date | 08/09/2006 |
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| Last Update Date | 08/22/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9335141274 |
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| Medicare Enrollment ID | O20070206000671 |
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Medical Identifiers
Medical identifiers for Family Medicine Of Jonesborough Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346250644 | NPI | - | NPPES |
| 3735554 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (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.
Family Medicine Of Jonesborough Llc acts as a billing entity for following providers:
| Provider Name | Michael E Jewett |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1780648063
PECOS PAC ID: 0446251250
Enrollment ID: I20070122000574 |
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