| Physician First Pc | |
|
2725 Keith St Nw Cleveland TN 37312 | |
| (423) 476-3330 | |
| (423) 476-5802 |
| Full Name | Physician First Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2725 Keith St Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Gerard K Mazza (SUPERVISING) |
| Authorized Official Contact | 4234763330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician First Pc 2725 Keith St Nw Cleveland TN 37312 Ph: (423) 476-3330 | Physician First Pc 2725 Keith St Nw Cleveland TN 37312 Ph: (423) 476-3330 |
| NPI Number | 1629108691 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 3870533078 |
|---|---|
| Medicare Enrollment ID | O20050506000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629108691 | NPI | - | NPPES |
| 3841466 | Medicaid | TN | |
| 4009361 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD015727 (Tennessee) | Primary |
| 363A00000X | Physician Assistant | PA0000000148 (Tennessee) | Secondary |
| Provider Name | Ronald C Mahlo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356456149 PECOS PAC ID: 5890792907 Enrollment ID: I20061121000047 |
| Provider Name | Paula J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730388844 PECOS PAC ID: 4587757976 Enrollment ID: I20070830000234 |
| Provider Name | Marchel D Tinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831385376 PECOS PAC ID: 8820184153 Enrollment ID: I20071018000380 |
| Provider Name | Gerard Karl Mazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568504918 PECOS PAC ID: 0244270452 Enrollment ID: I20110307000257 |
Cleveland Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103 | |
Donald E Robinson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Executive Park Nw, Suite B, Cleveland, TN 37312 Phone: 423-476-7584 Fax: 423-476-7586 | |
Michael Moffatt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Clingan Ridge Dr. Nw, Cleveland, TN 37312 Phone: 423-339-3340 Fax: 423-339-9927 | |
Physician Onsite, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 | |
Skyridge Clinical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Crossing, Ste 200, Cleveland, TN 37312 Phone: 423-479-4165 | |
Cleveland Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-338-8995 Fax: 423-614-5270 |