| S&t Beverley, Llc | |
|
321 Tellico St S Madisonville TN 37354-1194 | |
| (865) 213-8594 | |
| (865) 213-8359 |
| Full Name | S&t Beverley, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 321 Tellico St S, Madisonville, Tennessee |
| Authorized Official Name and Position | Debbie J Thompson (CFO) |
| Authorized Official Contact | 8652138336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S&t Beverley, Llc 304 Wright St Sweetwater TN 37874-1181 Ph: (865) 213-8336 | S&t Beverley, Llc 321 Tellico St S Madisonville TN 37354-1194 Ph: (865) 213-8594 |
| NPI Number | 1952723165 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Medicare PECOS PAC ID | 8628201183 |
|---|---|
| Medicare Enrollment ID | O20140507001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952723165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD37666 (Tennessee) | Primary |
| Provider Name | Tracey D Beverley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083651533 PECOS PAC ID: 8224011168 Enrollment ID: I20040610001437 |
| Provider Name | Lacie Gudger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114405354 PECOS PAC ID: 6800147141 Enrollment ID: I20180925002804 |
Chota Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Kidzcare Pediatrics Madisonville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4233 Highway 411, Suite B, Madisonville, TN 37354 Phone: 423-745-7500 Fax: 423-745-7501 | |
Hometown Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Warren St, Madisonville, TN 37354 Phone: 423-442-5480 Fax: 423-442-4416 | |
Wil-sav Clinical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 5, Madisonville, TN 37354 Phone: 423-442-9729 Fax: 423-442-5057 | |
Benchmark Pt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310 | |
Family Practice Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 |