| Masters Family Medical, Pllc | |
|
117 W Commercial Ave Monterey TN 38574-1107 | |
| (931) 310-2900 | |
| (972) 947-5164 |
| Full Name | Masters Family Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 117 W Commercial Ave, Monterey, Tennessee |
| Authorized Official Name and Position | Alisha N Masters (OWNER/PROVIDER) |
| Authorized Official Contact | 9313102900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Masters Family Medical, Pllc Po Box 90 Clarkrange TN 38553-0118 Ph: (931) 310-2900 | Masters Family Medical, Pllc 117 W Commercial Ave Monterey TN 38574-1107 Ph: (931) 310-2900 |
| NPI Number | 1902669682 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 2860830932 |
|---|---|
| Medicare Enrollment ID | O20240409002118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902669682 | NPI | - | NPPES |
| Q089961 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alisha N Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841462025 PECOS PAC ID: 3274612700 Enrollment ID: I20080508000262 |
Monterey Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 W Crawford Ave, Monterey, TN 38574 Phone: 931-839-2224 Fax: 931-839-2530 | |
Monterey Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 W Commercial Ave, Monterey, TN 38574 Phone: 931-839-6695 Fax: 931-839-7023 |