Ultacare Medical Pllc - Medicare Mental Health Clinic in New Tazewell, TN

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Ultacare Medical Pllc is a medicare enrolled mental health clinic (Family Medicine) in New Tazewell, Tennessee. The current practice location for Ultacare Medical Pllc is 606 N Broad St, New Tazewell, Tennessee. For appointments, you can reach them via phone at (423) 259-5002. The mailing address for Ultacare Medical Pllc is 5261 Carrollton Pike Ste A, Woodlawn, Virginia and phone number is (423) 259-5002.

Ultacare Medical Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225141492. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (423) 259-5002.

Contact Information

Ultacare Medical Pllc
606 N Broad St
New Tazewell
TN 37825-6610
(423) 259-5002
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameUltacare Medical Pllc
SpecialityFamily Medicine
Location606 N Broad St, New Tazewell, Tennessee
Authorized Official Name and PositionCarrie D Burnette (COO)
Authorized Official Contact2762380911
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ultacare Medical Pllc
5261 Carrollton Pike Ste A
Woodlawn
VA 24381-3034

Ph: (423) 259-5002		Ultacare Medical Pllc
606 N Broad St
New Tazewell
TN 37825-6610

Ph: (423) 259-5002

NPI Details:

NPI Number1225141492
Provider Enumeration Date08/15/2006
Last Update Date02/20/2026
Certification Date02/20/2026

Medicare PECOS Information:

Medicare PECOS PAC ID4789687484
Medicare Enrollment IDO20060818000335

Medical Identifiers

Medical identifiers for Ultacare Medical Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225141492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ultacare Medical Pllc acts as a billing entity for following providers:
Provider NameNickola S Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700995206
PECOS PAC ID: 6901832856
Enrollment ID: I20050719000099
Provider NameTerri L Crabtree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689611030
PECOS PAC ID: 0547274110
Enrollment ID: I20060202000781
Provider NameAmy B Fleming
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578582607
PECOS PAC ID: 6103829445
Enrollment ID: I20060807000194
Provider NameEric Hasemeier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952365017
PECOS PAC ID: 5092611210
Enrollment ID: I20060811000451
Provider NameLynda M Morelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366584807
PECOS PAC ID: 7911926258
Enrollment ID: I20071129000303
Provider NameAnton Christopher Daniel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700856135
PECOS PAC ID: 6305960873
Enrollment ID: I20100907000741
Provider NameJamie L Ogle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962467464
PECOS PAC ID: 9032398979
Enrollment ID: I20110125000739
Provider NameStephanie Carmichael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538463310
PECOS PAC ID: 6709069909
Enrollment ID: I20110325000325
Provider NameJessica H Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437457918
PECOS PAC ID: 4385813427
Enrollment ID: I20110808000294
Provider NameSylvia J Sergent
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982976486
PECOS PAC ID: 1052567351
Enrollment ID: I20120801000675
Provider NameLauren M Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881037174
PECOS PAC ID: 8224276134
Enrollment ID: I20130605000486
Provider NameCourtney S Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649692419
PECOS PAC ID: 4880827153
Enrollment ID: I20140513000501
Provider NameCara Jean Mccullah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497144968
PECOS PAC ID: 8224358502
Enrollment ID: I20150528000818
Provider NameShirley S Rogers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093108052
PECOS PAC ID: 1456660042
Enrollment ID: I20151021003269
Provider NameRebecca Leah Creekmore-hinkle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144693474
PECOS PAC ID: 0941502124
Enrollment ID: I20160105001465
Provider NameRebecca Patton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891248316
PECOS PAC ID: 9739467929
Enrollment ID: I20161021001740
Provider NameAngela Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023537248
PECOS PAC ID: 1052687480
Enrollment ID: I20171030001714
Provider NameStephanie Landes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972082170
PECOS PAC ID: 9133472574
Enrollment ID: I20181031003048
Provider NameDeborah Hanford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992091375
PECOS PAC ID: 5890028500
Enrollment ID: I20190612002409
Provider NameDiane Witmer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033771225
PECOS PAC ID: 9739419003
Enrollment ID: I20190930001683
Provider NameKatlyn R Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114406105
PECOS PAC ID: 5092147082
Enrollment ID: I20191113000282
Provider NameTravis Allen Rich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831731066
PECOS PAC ID: 4183054075
Enrollment ID: I20200416001207
Provider NameTabitha N Harper
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821633728
PECOS PAC ID: 9830525922
Enrollment ID: I20200428001315
Provider NameKatherine Singer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1902252711
PECOS PAC ID: 8527471663
Enrollment ID: I20210108000615
Provider NameLindsay Thornburg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588236848
PECOS PAC ID: 6406251651
Enrollment ID: I20210825004060
Provider NameDianne L Hill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134273162
PECOS PAC ID: 5193086841
Enrollment ID: I20211014001861
Provider NameChristy M Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750026464
PECOS PAC ID: 7113301417
Enrollment ID: I20220906002628
Provider NameCeleste M Chervenka
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134273246
PECOS PAC ID: 8022453786
Enrollment ID: I20240304002814
Provider NameAnna Reynolds
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356717136
PECOS PAC ID: 3678001500
Enrollment ID: I20250106003131
Provider NamePamela Marie Rhiel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811361603
PECOS PAC ID: 9638472095
Enrollment ID: I20250107000151
Provider NameSusan Lee Lawson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093551731
PECOS PAC ID: 4183152291
Enrollment ID: I20250116001125

Reviews and Comments

Family Medicine in New Tazewell, TN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.