| Innovative Family Care, Pllc | |
|
3300 Williams Enterprise Dr Cookeville TN 38506-4280 | |
| (931) 528-9222 | |
| (931) 854-0907 |
| Full Name | Innovative Family Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3300 Williams Enterprise Dr, Cookeville, Tennessee |
| Authorized Official Name and Position | Libby B Plunkett (PRACTICE MANAGER) |
| Authorized Official Contact | 9315289222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Family Care, Pllc 3300 Williams Enterprise Dr Cookeville TN 38506-4280 Ph: (931) 528-9222 | Innovative Family Care, Pllc 3300 Williams Enterprise Dr Cookeville TN 38506-4280 Ph: (931) 528-9222 |
| NPI Number | 1720345408 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 0042474942 |
|---|---|
| Medicare Enrollment ID | O20120605000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720345408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23607 (Tennessee) | Primary |
| Provider Name | Matthew J King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932101284 PECOS PAC ID: 0446217442 Enrollment ID: I20041210000785 |
| Provider Name | Chet M Gentry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851380406 PECOS PAC ID: 8527021641 Enrollment ID: I20070129000606 |
| Provider Name | Sandra C Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992715874 PECOS PAC ID: 7911078167 Enrollment ID: I20080617000187 |
| Provider Name | Anna Margaret Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770009250 PECOS PAC ID: 3577821768 Enrollment ID: I20171215002502 |
| Provider Name | William Timothy Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174140008 PECOS PAC ID: 0345652384 Enrollment ID: I20201215002125 |
| Provider Name | Kathryn Wayne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154911857 PECOS PAC ID: 1759772924 Enrollment ID: I20211222002090 |
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Kenny W. Lynn, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Cedar Ave, Cookeville, TN 38501 Phone: 931-528-7418 Fax: 931-525-6165 | |
Tennessee Health And Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 102, Cookeville, TN 38501 Phone: 931-651-1918 Fax: 931-651-1912 | |
Interstate Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 315 N Washington Ave Ste 190, Cookeville, TN 38501 Phone: 931-526-1604 | |
Benchmark Pt - Cookeville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 S Jefferson Ave Ste I, Cookeville, TN 38501 Phone: 423-238-7217 | |
1101 Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-7797 | |
Urgent Team Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 S Jefferson Ave Ste 101, Cookeville, TN 38501 Phone: 931-303-0958 Fax: 931-854-1545 |