Hilcrest Clinic, Pc | |
4891 East Main Street Erin TN 37061 | |
(931) 289-4201 | |
(931) 289-4204 |
Full Name | Hilcrest Clinic, Pc |
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Speciality | Family Medicine |
Location | 4891 East Main Street, Erin, Tennessee |
Authorized Official Name and Position | Michael Allen Carter (OWNER) |
Authorized Official Contact | 9312894201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hilcrest Clinic, Pc 4891 East Main Street Erin TN 37061 Ph: (931) 289-4201 | Hilcrest Clinic, Pc 4891 East Main Street Erin TN 37061 Ph: (931) 289-4201 |
NPI Number | 1295769552 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 08/16/2023 |
Medicare PECOS PAC ID | 0446223457 |
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Medicare Enrollment ID | O20040818000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295769552 | NPI | - | NPPES |
3720080 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Robin R Black |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962512483 PECOS PAC ID: 2163522145 Enrollment ID: I20070703000608 |
Provider Name | Michael A Carter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639293871 PECOS PAC ID: 2567503162 Enrollment ID: I20100105000131 |
Provider Name | Janna D Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801935440 PECOS PAC ID: 2163705112 Enrollment ID: I20200410002279 |
Provider Name | Chelsi Brink |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396094199 PECOS PAC ID: 9638597115 Enrollment ID: I20200915002604 |
Provider Name | Ashley Vasilik |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922670587 PECOS PAC ID: 6709276579 Enrollment ID: I20211209002410 |
Erin Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4895 East Main St, Suite C, Erin, TN 37061 Phone: 931-289-2450 Fax: 931-289-2453 |