| Lebanon General Practice Inc | |
|
228 W Main St Ste B Lebanon TN 37087-2681 | |
| (615) 784-4621 | |
| (615) 784-4623 |
| Full Name | Lebanon General Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 228 W Main St Ste B, Lebanon, Tennessee |
| Authorized Official Name and Position | Dawn Johnson (MEDICAL BILLING) |
| Authorized Official Contact | 6157844621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lebanon General Practice Inc 228 W Main St Ste B Lebanon TN 37087-2681 Ph: (615) 784-4621 | Lebanon General Practice Inc 228 W Main St Ste B Lebanon TN 37087-2681 Ph: (615) 784-4621 |
| NPI Number | 1659496040 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 1153331418 |
|---|---|
| Medicare Enrollment ID | O20090225000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659496040 | NPI | - | NPPES |
| 3832478 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thomas A Kowal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043205008 PECOS PAC ID: 1850301110 Enrollment ID: I20060508000353 |
Employment & Assessment Solutions, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1037 W Main St, Suite A, Lebanon, TN 37087 Phone: 615-453-3567 Fax: 615-453-4031 | |
Middle Tennessee And Adolescent Medicine P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Physicians Way, Suite 200, Lebanon, TN 37090 Phone: 615-449-5611 Fax: 615-443-0571 | |
Badru, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-547-6200 Fax: 615-547-6202 | |
Concord Infectious Disease Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1419 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-420-5390 Fax: 615-549-1532 | |
Lebanon Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Lebanon, TN 37087 Phone: 615-443-2500 | |
Robert J Jantz Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Cadet Ct, Lebanon, TN 37087 Phone: 615-449-2472 Fax: 615-449-4709 | |
Cumberland Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 W Main St, Suite M, Lebanon, TN 37087 Phone: 615-453-1252 Fax: 615-453-1286 |