| New Era Medical Llc | |
|
221 Lane Pkwy Ste B Shelbyville TN 37160-3108 | |
| (615) 403-9797 | |
| Not Available |
| Full Name | New Era Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Lane Pkwy Ste B, Shelbyville, Tennessee |
| Authorized Official Name and Position | Philip Brian Cox (CO-OWNER) |
| Authorized Official Contact | 9317733030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Era Medical Llc 221 Lane Pkwy Ste B Shelbyville TN 37160-3108 Ph: () - | New Era Medical Llc 221 Lane Pkwy Ste B Shelbyville TN 37160-3108 Ph: (615) 403-9797 |
| NPI Number | 1598528317 |
|---|---|
| Provider Enumeration Date | 02/05/2024 |
| Last Update Date | 09/09/2024 |
| Medicare PECOS PAC ID | 9234570466 |
|---|---|
| Medicare Enrollment ID | O20240517003379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598528317 | NPI | - | NPPES |
| 1720716152 | Medicaid | TN | |
| 1720716152 | Other | TN | ALL OTHERS |
| 1952952947 | Other | TN | ALL OTHERS |
| 1952952947 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Erica Jo Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952952947 PECOS PAC ID: 0345678702 Enrollment ID: I20200317002702 |
| Provider Name | Philip Brian Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720716152 PECOS PAC ID: 2163891714 Enrollment ID: I20221205000255 |
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