Mckenzie Medical Center Pc is a medicare enrolled "Clinic/center - Rural Health" provider in Bruceton, Tennessee. Their current practice location is
30810 Broad St, Bruceton, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(731) 586-4800.
Mckenzie Medical Center Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Mckenzie Medical Center Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245401231.
Healthcare Provider's Profile
| Full Name | Mckenzie Medical Center Pc |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Rural Health |
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| Location | 30810 Broad St, Bruceton, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245401231
- Provider Enumeration Date: 03/18/2008
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365427853
- Enrollment ID: O20191021003362
Medical Identifiers
Medical identifiers for Mckenzie Medical Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245401231 | NPI | - | NPPES |
| 3380640 | Other | TN | MEDICARE GROUP |
| 3380640 | Other | TN | MEDICAID GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODT1599 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MD23833 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | 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. Mckenzie Medical Center Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mckenzie Medical Center Pc
205a Hospital Dr,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 | Mckenzie Medical Center Pc
30810 Broad St,
Bruceton, TN 38317-2028
Ph: (731) 586-4800 |
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