| Limestone Medical Care Llc | |
|
533 Big Limestone Rd Limestone TN 37681-2537 | |
| (423) 257-8382 | |
| (423) 257-8380 |
| Full Name | Limestone Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 533 Big Limestone Rd, Limestone, Tennessee |
| Authorized Official Name and Position | Mousa K Naseri (NURSE PRACTIONER) |
| Authorized Official Contact | 4232578382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Limestone Medical Care Llc 533 Big Limestone Rd. Limestone TN 37681 Ph: (423) 257-8382 | Limestone Medical Care Llc 533 Big Limestone Rd Limestone TN 37681-2537 Ph: (423) 257-8382 |
| NPI Number | 1982897641 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 10/15/2013 |
| Medicare PECOS PAC ID | 0749424406 |
|---|---|
| Medicare Enrollment ID | O20130918000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982897641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APN6456 (Tennessee) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | APN6456 (Tennessee) | Primary |
| Provider Name | Mousa E Naseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043375827 PECOS PAC ID: 6103872122 Enrollment ID: I20050329000849 |
Limestone Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Limestone Ruritan Rd, Limestone, TN 37681 Phone: 423-257-8089 Fax: 423-257-5179 | |
Limestone Family Eye Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 364 Opie Arnold Rd, Limestone, TN 37681 Phone: 423-257-2340 Fax: 423-257-8627 |