Cleveland Back & Neck Clinic, Pllc is a
General Practice based in Cleveland, Tennessee. Cleveland Back & Neck Clinic, Pllc is licensed to practice in Tennessee (license number ) and their current practice location is
55 Mouse Creek Rd Nw, Cleveland, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(423) 479-8989.
NPI number for Cleveland Back & Neck Clinic, Pllc is 1366581654 and their current mailing address is Po Box 3604, Cleveland, Tennessee. Cleveland Back & Neck Clinic, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366581654.
Healthcare Provider's Profile
| Full Name | Cleveland Back & Neck Clinic, Pllc |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 55 Mouse Creek Rd Nw, Cleveland, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1366581654
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 06/27/2014
Medical Identifiers
Medical identifiers for Cleveland Back & Neck Clinic, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366581654 | NPI | - | NPPES |
| 4103176 | Other | TN | BCBS |
| 3676963 | Other | TN | INDIVIDUAL MEDICAID # DR ANGELA |
| P00232343 | Other | TN | RAILROAD MEDICARE |
| 3730173 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Tennessee) | Secondary |
| 363L00000X | Nurse Practitioner | (Tennessee) | Secondary |
| 208D00000X | General Practice | (Tennessee) | Primary |
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. Cleveland Back & Neck Clinic, 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 |
|---|
Cleveland Back & Neck Clinic, Pllc
Po Box 3604,
Cleveland, TN 37320-3604
Ph: (423) 478-8989 | Cleveland Back & Neck Clinic, Pllc
55 Mouse Creek Rd Nw,
Cleveland, TN 37312-4840
Ph: (423) 479-8989 |
Reviews and Comments