| Informe Healthcare Tn, Llc | |
|
709 Walnut St Chattanooga TN 37402-1916 | |
| (423) 266-7721 | |
| Not Available |
| Full Name | Informe Healthcare Tn, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 709 Walnut St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Jodi M Czernejewski (OWNER) |
| Authorized Official Contact | 4142425468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Informe Healthcare Tn, Llc 2741 W Layton Ave Ste 106 Milwaukee WI 53221-2600 Ph: (414) 242-5468 | Informe Healthcare Tn, Llc 709 Walnut St Chattanooga TN 37402-1916 Ph: (423) 266-7721 |
| NPI Number | 1275003295 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 0244579290 |
|---|---|
| Medicare Enrollment ID | O20190308001579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275003295 | NPI | - | NPPES |
| Q045823 | Medicaid | TN |
| Provider Name | Bonnie Fry Randolph |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497756258 PECOS PAC ID: 0648253211 Enrollment ID: I20040612000674 |
| Provider Name | Earl V Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066341 PECOS PAC ID: 6305820168 Enrollment ID: I20040617000968 |
| Provider Name | Sameh S Naguib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568415685 PECOS PAC ID: 9234100876 Enrollment ID: I20040805000547 |
| Provider Name | Naved M Mohyuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417951278 PECOS PAC ID: 2860427408 Enrollment ID: I20051003000103 |
| Provider Name | Naveed H Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386609055 PECOS PAC ID: 4688572795 Enrollment ID: I20060503000599 |
| Provider Name | Anthony L Cabrera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316984008 PECOS PAC ID: 8426052614 Enrollment ID: I20060830000364 |
| Provider Name | Jaime E Montoya Chavez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083711535 PECOS PAC ID: 8820190879 Enrollment ID: I20070222000577 |
| Provider Name | Patrick B Mcginty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114074267 PECOS PAC ID: 4082712161 Enrollment ID: I20070613000615 |
| Provider Name | Rene V Aguirre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043367931 PECOS PAC ID: 7113097940 Enrollment ID: I20080604000730 |
| Provider Name | Brian C Carrico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306053939 PECOS PAC ID: 9830376441 Enrollment ID: I20110608000439 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588949465 PECOS PAC ID: 8022267277 Enrollment ID: I20121003000105 |
| Provider Name | Rebecca Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720338023 PECOS PAC ID: 9133370976 Enrollment ID: I20121105000058 |
| Provider Name | Brittany Ledford Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477972719 PECOS PAC ID: 7719110337 Enrollment ID: I20140507000315 |
| Provider Name | Tokunbo T Akinleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851797625 PECOS PAC ID: 9436474939 Enrollment ID: I20150204000267 |
| Provider Name | Jason Kilmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336435551 PECOS PAC ID: 2365751187 Enrollment ID: I20151019001142 |
| Provider Name | Bethany White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395264 PECOS PAC ID: 1557642642 Enrollment ID: I20170104000383 |
| Provider Name | Raul Vasquez - Garagatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518283522 PECOS PAC ID: 7719133412 Enrollment ID: I20171028000208 |
| Provider Name | Amanda Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760649800 PECOS PAC ID: 6800929480 Enrollment ID: I20171108001645 |
| Provider Name | Hairline Sylvestre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215519186 PECOS PAC ID: 7517369606 Enrollment ID: I20210712004214 |
| Provider Name | Tricia L Scheuneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447289913 PECOS PAC ID: 9234153677 Enrollment ID: I20211213000869 |
| Provider Name | Lindsay Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053581124 PECOS PAC ID: 4981896867 Enrollment ID: I20211228001102 |
| Provider Name | Amanda W Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215641915 PECOS PAC ID: 1658745856 Enrollment ID: I20230329001008 |
| Provider Name | Keith Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548677461 PECOS PAC ID: 6901120831 Enrollment ID: I20231018002552 |
| Provider Name | Kimberly Nicole Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538876909 PECOS PAC ID: 1456794726 Enrollment ID: I20240205000862 |
Terry W. Smith M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6237 Vance Rd, Suite 3, Chattanooga, TN 37421 Phone: 423-551-3940 Fax: 423-305-7981 | |
Liberty Healthcare Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1949 Gunbarrel Rd Ste 303, Chattanooga, TN 37421 Phone: 423-498-5839 | |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7380 Volkswagen Dr Ste 190a, Chattanooga, TN 37416 Phone: 423-933-1672 Fax: 423-933-1675 | |
Bryn Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6221 Shallowford Rd Ste 100, Chattanooga, TN 37421 Phone: 423-541-9455 | |
Drs Kemp And Avitabile Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 Morrison Springs Rd, Suite 201, Chattanooga, TN 37415 Phone: 423-877-4556 Fax: 423-877-9218 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6413 Lee Hwy Ste 107, Chattanooga, TN 37421 Phone: 000-000-0000 Fax: 000-000-0000 | |
Weight Loss Center Of Chattanooga Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7405 Shallowford Rd Ste 320, Chattanooga, TN 37421 Phone: 706-537-7499 |