| Livingston Family Healthcare Llc | |
|
403 E University St Livingston TN 38570-1511 | |
| (931) 403-5939 | |
| (931) 403-5940 |
| Full Name | Livingston Family Healthcare Llc |
|---|---|
| Speciality | General Practice |
| Location | 403 E University St, Livingston, Tennessee |
| Authorized Official Name and Position | Kenneth Dale Beaty (MD/OWNER) |
| Authorized Official Contact | 9314035939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Family Healthcare Llc 403 E University St Livingston TN 38570-1511 Ph: (931) 403-5939 | Livingston Family Healthcare Llc 403 E University St Livingston TN 38570-1511 Ph: (931) 403-5939 |
| NPI Number | 1912167115 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 9830261098 |
|---|---|
| Medicare Enrollment ID | O20080702000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912167115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34968 (Tennessee) | Primary |
| Provider Name | Kenneth D Beaty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255364782 PECOS PAC ID: 4880797059 Enrollment ID: I20070307000655 |
| Provider Name | Mandy N Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063760627 PECOS PAC ID: 7315174547 Enrollment ID: I20131216000531 |
| Provider Name | Ciarra Rachelle Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326629304 PECOS PAC ID: 2062809668 Enrollment ID: I20220429000996 |
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Twin Lakes Family Practice Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 529 Medical Dr, Suite A, Livingston, TN 38570 Phone: 931-403-1710 Fax: 931-403-1711 | |
Medical Arts Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Medical Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
Internal Medicine At The Livingston Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-8203 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Main St, Livingston, TN 38570 Phone: 931-219-2091 Fax: 931-219-2182 | |
Oasis Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4120 Bradford Hicks Dr, Livingston, TN 38570 Phone: 931-823-5603 Fax: 931-403-0574 | |
The Livingston Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Livingston, TN 38570 Phone: 931-823-5681 Fax: 931-823-0236 |