Mt. Juliet Spine And Pain Management, Pllc is a
General Practice based in Mount Juliet, Tennessee. Mt. Juliet Spine And Pain Management, Pllc is licensed to practice in Tennessee (license number MD0000017958) and their current practice location is
105 Industrial Dr Ste 7, Mount Juliet, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(615) 758-7575.
NPI number for Mt. Juliet Spine And Pain Management, Pllc is 1124228416 and their current mailing address is 105 Industrial Dr Ste 7, Mount Juliet, Tennessee. Mt. Juliet Spine And Pain Management, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124228416.
Healthcare Provider's Profile
| Full Name | Mt. Juliet Spine And Pain Management, Pllc |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 105 Industrial Dr Ste 7, Mount Juliet, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124228416
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 03/08/2010
Medical Identifiers
Medical identifiers for Mt. Juliet Spine And Pain Management, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124228416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 2193 (Tennessee) | Secondary |
| 208D00000X | General Practice | MD0000017958 (Tennessee) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | APN0000012953 (Tennessee) | Secondary |
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. Mt. Juliet Spine And Pain Management, Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mt. Juliet Spine And Pain Management, Pllc
105 Industrial Dr Ste 7,
Mount Juliet, TN 37122-3168
Ph: (615) 758-7575 | Mt. Juliet Spine And Pain Management, Pllc
105 Industrial Dr Ste 7,
Mount Juliet, TN 37122-3168
Ph: (615) 758-7575 |
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