| Behavioral Medicine | |
|
401 Tyson Ave Paris TN 38242-4821 | |
| (731) 642-4422 | |
| (731) 642-0068 |
| Full Name | Behavioral Medicine |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 401 Tyson Ave, Paris, Tennessee |
| Authorized Official Name and Position | Donald Gold (OWNER) |
| Authorized Official Contact | 7316424422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Po Box 731 Paris TN 38242-0731 Ph: (731) 642-4422 | Behavioral Medicine 401 Tyson Ave Paris TN 38242-4821 Ph: (731) 642-4422 |
| NPI Number | 1366620643 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Medicare PECOS PAC ID | 6901812098 |
|---|---|
| Medicare Enrollment ID | O20060227000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366620643 | NPI | - | NPPES |
| DE4535 | Other | TN | RR MEDICARE |
| 3723326 | Medicaid | TN | |
| 09014277 | Medicaid | MS | |
| 64053168 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 9580 (Tennessee) | Primary |
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