<unavail> in Centerville, TN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Centerville, Tennessee. The current practice location for is 132a N Central Ave, Centerville, Tennessee. For appointments, you can reach them via phone at (931) 729-4001. The mailing address for is Po Box 99, Centerville, Tennessee and phone number is (931) 729-4001.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1366957656. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (931) 729-4001.

Contact Information


	132a N Central Ave Centerville TN 37033
	(931) 729-4001
	(931) 729-4081

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	132a N Central Ave, Centerville, Tennessee
Authorized Official Name and Position	Robert E Wilson (SOLE OWNER)
Authorized Official Contact	9317294001
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 99 Centerville TN 37033-0099 Ph: (931) 729-4001	132a N Central Ave Centerville TN 37033 Ph: (931) 729-4001

NPI Details:

NPI Number	1366957656
Provider Enumeration Date	12/07/2017
Last Update Date	06/11/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	2961767637
Medicare Enrollment ID	O20180530000738

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366957656	NPI	-	NPPES
6128617	Other		BLUE CROSS BLUE SHIED OF TENNESSEE
1144589458	Other		NPPES - INDIVIDUAL NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Robert Wilson
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1144589458 PECOS PAC ID: 1759514979 Enrollment ID: I20140423002134

Reviews and Comments

Clinic/Center in Centerville, TN

Dermal Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Central Ave, Centerville, TN 37033 Phone: 931-729-0012 Fax: 931-729-0012
Saint Thomas Hickman Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Highway 100, Centerville, TN 37033 Phone: 931-729-3091
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 E Swan Street, Centerville, TN 37033 Phone: 931-729-3091 Fax: 931-729-0809

- Medicare Primary Care in Centerville, TN