| Vanderbilt Integrated Internal Medicine | |
|
1805 N Jackson St Ste 100 Tullahoma TN 37388-2291 | |
| (931) 455-7767 | |
| (931) 222-4057 |
| Full Name | Vanderbilt Integrated Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1805 N Jackson St Ste 100, Tullahoma, Tennessee |
| Authorized Official Name and Position | Wendy D Monaci (VICE PRESIDENT) |
| Authorized Official Contact | 6159363944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanderbilt Integrated Internal Medicine 3841 Green Hills Village Dr Ste 200 Nashville TN 37215-2691 Ph: () - | Vanderbilt Integrated Internal Medicine 1805 N Jackson St Ste 100 Tullahoma TN 37388-2291 Ph: (931) 455-7767 |
| NPI Number | 1164200747 |
|---|---|
| Provider Enumeration Date | 09/15/2023 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 7012817919 |
|---|---|
| Medicare Enrollment ID | O20231020002834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164200747 | NPI | - | NPPES |
| Q092315 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Tullahoma After Hours Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hunters Lane, Suite 100, Tullahoma, TN 37388 Phone: 931-455-4616 Fax: 931-455-2362 | |
Dr. Frank W. Semmes, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Ne Atlantic St, Tullahoma, TN 37388 Phone: 931-571-7601 Fax: 931-455-2029 | |
Total Health Care Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Ledford Mill Rd, Ste B, Tullahoma, TN 37388 Phone: 931-222-4310 | |
Tullahoma Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln, Suite 100, Tullahoma, TN 37388 Phone: 931-393-3366 Fax: 931-393-1065 | |
Ian S. Taylor, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10054 Old Tullahoma Rd, Tullahoma, TN 37388 Phone: 931-455-6688 Fax: 931-455-0892 | |
Donald Tucker Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 William Northern Blvd, Tullahoma, TN 37388 Phone: 931-454-0489 Fax: 931-454-2348 |