|
| |
|
913 Gallatin Pike S Madison TN 37115-4603 | |
| (615) 915-2481 | |
| (615) 915-2488 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 913 Gallatin Pike S, Madison, Tennessee |
| Authorized Official Name and Position | Irene W Bean (OWNER) |
| Authorized Official Contact | 6159152481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
913 Gallatin Pike S Madison TN 37115-4603 Ph: (615) 915-2481 | 913 Gallatin Pike S Madison TN 37115-4603 Ph: (615) 915-2481 |
| NPI Number | 1295988822 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 03/05/2010 |
| Medicare PECOS PAC ID | 6507999851 |
|---|---|
| Medicare Enrollment ID | O20100810000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295988822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Irene W Bean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245225564 PECOS PAC ID: 3678486875 Enrollment ID: I20031112000299 |
| Provider Name | Millard D Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952389173 PECOS PAC ID: 5395710495 Enrollment ID: I20040901000365 |
Skyline Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Hospital Dr, Suite 150, Madison, TN 37115 Phone: 615-865-9232 Fax: 615-865-4159 | |
Skyline Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Hospital Dr, Suite 410, Madison, TN 37115 Phone: 615-865-9057 | |
Agape Family Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1037 E Old Hickory Blvd, Madison, TN 37115 Phone: 615-865-3994 Fax: 615-865-8176 | |
Healthyconnect Of Nashville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Briarville Rd Bldg C, Madison, TN 37115 Phone: 813-760-3373 | |
Providence Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 Briarville Rd Bldg E, Madison, TN 37115 Phone: 615-860-8182 Fax: 615-860-8184 |