Watauga Lake Family Medicine Pc is a medicare enrolled primary clinic (Family Medicine) in Butler, Tennessee. The current practice location for Watauga Lake Family Medicine Pc is 140 Mcqueen St., Butler, Tennessee. For appointments, you can reach them via phone at
(423) 768-0195. The mailing address for Watauga Lake Family Medicine Pc is 138 N Fork New River Rd, Lansing, North Carolina and phone number is (336) 982-2158.
Watauga Lake Family Medicine Pc is licensed to practice in Tennessee (license number MD0000041068). The clinic also participates in the medicare program and its
NPI number is 1457548406. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(423) 768-0195.
Primary Care Clinic Profile
| Full Name | Watauga Lake Family Medicine Pc |
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| Speciality | Family Medicine |
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| Location | 140 Mcqueen St., Butler, Tennessee |
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| Authorized Official Name and Position | Amy R. Miller (BUSINESS MANAGER) |
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| Authorized Official Contact | 3369822158 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Watauga Lake Family Medicine Pc
138 N Fork New River Rd
Lansing
NC 28643-9130
Ph: (336) 982-2158 | Watauga Lake Family Medicine Pc
140 Mcqueen St.
Butler
TN 37640
Ph: (423) 768-0195 |
NPI Details:
| NPI Number | 1457548406 |
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| Provider Enumeration Date | 10/03/2007 |
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| Last Update Date | 10/03/2007 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3476641622 |
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| Medicare Enrollment ID | O20071121000409 |
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Medical Identifiers
Medical identifiers for Watauga Lake Family Medicine Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457548406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | MD0000041068 (Tennessee) | Primary |
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