| Lark Medical Associates, Llc | |
|
275 Highway 11 E Bulls Gap TN 37711-3417 | |
| (423) 393-4052 | |
| (423) 933-2915 |
| Full Name | Lark Medical Associates, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 275 Highway 11 E, Bulls Gap, Tennessee |
| Authorized Official Name and Position | Linda S Housewright (OWNER) |
| Authorized Official Contact | 4233934052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lark Medical Associates, Llc Po Box 8 Bulls Gap TN 37711-0008 Ph: (423) 393-4052 | Lark Medical Associates, Llc 275 Highway 11 E Bulls Gap TN 37711-3417 Ph: (423) 393-4052 |
| NPI Number | 1831501501 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 8022330711 |
|---|---|
| Medicare Enrollment ID | O20141208002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831501501 | NPI | - | NPPES |
| Q009488 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | APN0000006848 (Tennessee) | Primary |
| Provider Name | Linda S Housewright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881690469 PECOS PAC ID: 6608883475 Enrollment ID: I20071023000108 |
| Provider Name | Kristie V Greenlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942765615 PECOS PAC ID: 0840620704 Enrollment ID: I20200417001163 |
| Provider Name | Jessica Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275147258 PECOS PAC ID: 5193131688 Enrollment ID: I20210308002350 |
| Provider Name | Angel Dawn Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174184295 PECOS PAC ID: 4183011695 Enrollment ID: I20220503000518 |
Mark R. Doman, M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 N Main St, Bulls Gap, TN 37711 Phone: 423-235-0063 Fax: 423-235-0066 | |
Bulls Gap Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 Highway 11 E, Bulls Gap, TN 37711 Phone: 423-235-4191 Fax: 423-235-7092 | |
Bulls Gap Medical And Walk In Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 273 Highway 11 E Ste A, Bulls Gap, TN 37711 Phone: 423-393-4146 Fax: 423-393-4377 |