| West Tennessee Medical Group Primary Care Bolivar | |
|
640 Nuckolls Rd Bolivar TN 38008-1532 | |
| (731) 658-3100 | |
| Not Available |
| Full Name | West Tennessee Medical Group Primary Care Bolivar |
|---|---|
| Speciality | Family Medicine |
| Location | 640 Nuckolls Rd, Bolivar, Tennessee |
| Authorized Official Name and Position | James Ross (PRESIDENT AND CEO) |
| Authorized Official Contact | 7315121277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Tennessee Medical Group Primary Care Bolivar 620 Skyline Dr Jackson TN 38301-3923 Ph: (731) 512-1277 | West Tennessee Medical Group Primary Care Bolivar 640 Nuckolls Rd Bolivar TN 38008-1532 Ph: (731) 658-3100 |
| NPI Number | 1538634050 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 0648188987 |
|---|---|
| Medicare Enrollment ID | O20031229000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538634050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen L Salvaggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851367197 PECOS PAC ID: 8820144058 Enrollment ID: I20090914000194 |
| Provider Name | Samuel T Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427296276 PECOS PAC ID: 8527232941 Enrollment ID: I20111122000239 |
Primecare Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 | |
Hardeman County Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-3388 Fax: 731-659-3131 | |
New Primecare Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-658-2120 Fax: 731-659-2909 | |
Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 W Market St, Bolivar, TN 38008 Phone: 731-361-1003 Fax: 731-361-1004 | |
Unity Health & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Tennessee St, Bolivar, TN 38008 Phone: 731-212-3196 Fax: 731-212-3193 | |
Hatchie Clinic P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008 Phone: 731-659-2273 Fax: 731-659-2777 |