Foundation Health Services, Pllc is a medicare enrolled "Clinic/center - Urgent Care" provider in Gray, Tennessee. Their current practice location is
5583 Bobby Hicks Hwy Ste 205, Gray, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(423) 707-2509.
Foundation Health Services, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Foundation Health Services, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376922278.
Healthcare Provider's Profile
| Full Name | Foundation Health Services, Pllc |
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| Type | Facility |
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| Speciality | Clinic/center - Urgent Care |
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| Location | 5583 Bobby Hicks Hwy Ste 205, Gray, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376922278
- Provider Enumeration Date: 05/26/2015
- Last Update Date: 04/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709173529
- Enrollment ID: O20160922000978
Medical Identifiers
Medical identifiers for Foundation Health Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376922278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Foundation Health Services, Pllc acts as a billing entity for following providers:
| Provider Name | Jonathan Madill |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1467841999
PECOS PAC ID: 7517254337
Enrollment ID: I20160922001167 |
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| Provider Name | Erica Leighann Bales |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1225770308
PECOS PAC ID: 9830548544
Enrollment ID: I20240807001508 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Foundation Health Services, Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Foundation Health Services, Pllc
5583 Bobby Hicks Hwy Ste 205,
Gray, TN 37615-3283
Ph: (423) 707-2509 | Foundation Health Services, Pllc
5583 Bobby Hicks Hwy Ste 205,
Gray, TN 37615-3283
Ph: (423) 707-2509 |
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