Superior Healthcare, Pllc is a
Internal Medicine - Sports Medicine based in Clarksville, Tennessee. Superior Healthcare, Pllc is licensed to practice in Tennessee (license number MD45045) and their current practice location is
2269 Wilma Rudolph Blvd, Suite 107, Clarksville, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(931) 905-1720.
NPI number for Superior Healthcare, Pllc is 1386886265 and their current mailing address is 2269 Wilma Rudolph Blvd, Suite 107, Clarksville, Tennessee. Superior Healthcare, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1386886265.
Healthcare Provider's Profile
| Full Name | Superior Healthcare, Pllc |
|---|
| Type | Facility |
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| Speciality | Internal Medicine - Sports Medicine |
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| Location | 2269 Wilma Rudolph Blvd, Clarksville, 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: 1386886265
- Provider Enumeration Date: 03/24/2009
- Last Update Date: 09/02/2010
Medical Identifiers
Medical identifiers for Superior Healthcare, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386886265 | NPI | - | NPPES |
| 1513752 | Medicaid | TN | |
| DO8673 | Other | TN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC0000002132 (Tennessee) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | MD45045 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | APN0000012014 (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. Superior Healthcare, 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 |
|---|
Superior Healthcare, Pllc
2269 Wilma Rudolph Blvd, Suite 107,
Clarksville, TN 37040-3179
Ph: (931) 905-1720 | Superior Healthcare, Pllc
2269 Wilma Rudolph Blvd, Suite 107,
Clarksville, TN 37040-3179
Ph: (931) 905-1720 |
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