- Medicare Primary Care in Mc Kenzie, TN

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is a medicare enrolled primary clinic (Clinic/center) in Mc Kenzie, Tennessee. The current practice location for is 205a Hospital Dr, Mc Kenzie, Tennessee. For appointments, you can reach them via phone at (731) 352-7907. The mailing address for is 205a Hospital Dr, Mc Kenzie, Tennessee and phone number is (731) 352-7907.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700534229. 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 (731) 352-7907.

Contact Information

205a Hospital Dr
Mc Kenzie
TN 38201-1649
(731) 352-7907
(833) 690-3848

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location205a Hospital Dr, Mc Kenzie, Tennessee
Authorized Official Name and PositionTammy Etheridge (CHIEF OPERATING OFFICER)
Authorized Official Contact7313527907
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

205a Hospital Dr
Mc Kenzie
TN 38201-1649

Ph: (731) 352-7907
205a Hospital Dr
Mc Kenzie
TN 38201-1649

Ph: (731) 352-7907

NPI Details:

NPI Number1700534229
Provider Enumeration Date03/14/2022
Last Update Date05/06/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365427853
Medicare Enrollment IDO20040619000083

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700534229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/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 NameTerry Andrew Colotta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659374296
PECOS PAC ID: 8729063060
Enrollment ID: I20040622000185
Provider NameJoseph R Hames
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1699721092
PECOS PAC ID: 4082663463
Enrollment ID: I20050113000243
Provider NameBryan Hale Merrick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467455287
PECOS PAC ID: 7416921895
Enrollment ID: I20050720000089
Provider NameJudy B Bain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811133622
PECOS PAC ID: 1658429535
Enrollment ID: I20090622000066
Provider NameEdwin G Anderson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609833227
PECOS PAC ID: 8123169547
Enrollment ID: I20100213000043
Provider NameScott Louis Spivey
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861481095
PECOS PAC ID: 7416072244
Enrollment ID: I20100916000287
Provider NameMark T Smith
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1053628271
PECOS PAC ID: 0749479830
Enrollment ID: I20110105000282
Provider NameDavid A Johnson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194733089
PECOS PAC ID: 8729268099
Enrollment ID: I20110204000124
Provider NameLeslie Leeann Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790063212
PECOS PAC ID: 0547430621
Enrollment ID: I20110829000031
Provider NameTanya L Arnold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205132206
PECOS PAC ID: 8123287810
Enrollment ID: I20120315000855
Provider NameJonathan Edgar Searcy
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710291828
PECOS PAC ID: 9638331440
Enrollment ID: I20120424000125
Provider NameKenneth Scott Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811237001
PECOS PAC ID: 2163663931
Enrollment ID: I20130722000341
Provider NameJami Ivey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083797211
PECOS PAC ID: 8325357650
Enrollment ID: I20151027001901
Provider NameLynn Nicole Redmond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871942201
PECOS PAC ID: 2163714015
Enrollment ID: I20160713001111
Provider NameErin Legens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326430620
PECOS PAC ID: 6507147857
Enrollment ID: I20161229000780
Provider NameMark Vinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699255794
PECOS PAC ID: 6507119245
Enrollment ID: I20181027000029
Provider NameJacqueline Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245735943
PECOS PAC ID: 4486995388
Enrollment ID: I20190402002034
Provider NameDawn Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912468505
PECOS PAC ID: 8729320692
Enrollment ID: I20190424001322
Provider NameTrent Jim-e Theriac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134686116
PECOS PAC ID: 0840533311
Enrollment ID: I20190524000631
Provider NameMary Rebecca Wall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134689920
PECOS PAC ID: 0840523270
Enrollment ID: I20190617003117
Provider NameHollie Frazier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013544576
PECOS PAC ID: 3678902442
Enrollment ID: I20200330001575
Provider NameAlison Knack
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700423365
PECOS PAC ID: 9234551532
Enrollment ID: I20200615001384
Provider NameAngelia Dotson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245825249
PECOS PAC ID: 8123434743
Enrollment ID: I20210305001797
Provider NameKristin Russell Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508182726
PECOS PAC ID: 4486824406
Enrollment ID: I20210629001362
Provider NameWilliam Merrick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497231054
PECOS PAC ID: 9032514567
Enrollment ID: I20210823000743
Provider NameBobbie J Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659945418
PECOS PAC ID: 4880091404
Enrollment ID: I20210924001073
Provider NameTywanda Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194960302
PECOS PAC ID: 8325221674
Enrollment ID: I20211115001038
Provider NamePatricia Cunningham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225422355
PECOS PAC ID: 2668851817
Enrollment ID: I20220620000783
Provider NameLexi Osborne
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215675277
PECOS PAC ID: 6305225145
Enrollment ID: I20220624000476
Provider NameBriana Page Chandler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790408466
PECOS PAC ID: 5597141846
Enrollment ID: I20221011000025
Provider NameVictoria Brooke Ivy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235918947
PECOS PAC ID: 0244685741
Enrollment ID: I20231018000268
Provider NameMegan Elise Ethredge
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669128237
PECOS PAC ID: 4284076670
Enrollment ID: I20240530003709
Provider NameRachelle Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225869225
PECOS PAC ID: 0042744898
Enrollment ID: I20241115001458

Reviews and Comments


Clinic/Center in Mc Kenzie, TN


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1894 Cedar St, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 833-690-3848
Mckenzie Clinic Corp
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 201 Hospital Dr, Mc Kenzie, TN 38201
Phone: 615-465-7645    Fax: 615-465-3017
Bethel Universtiy
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 325 Cherry Ave # 335, Mc Kenzie, TN 38201
Phone: 731-352-4000    Fax: 731-352-4238

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 731-352-4459

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 325 Cherry Ave, Mc Kenzie, TN 38201
Phone: 972-367-4845    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 205c Hospital Dr, Mc Kenzie, TN 38201
Phone: 731-352-7907    Fax: 833-690-3848

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.