Mckenzie Medical Center, Pc is a medicare enrolled "Clinic/center - Rural Health" provider in Gleason, Tennessee. Their current practice location is
105 N Cedar St, Gleason, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(731) 648-5634.
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 1225083991.
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 | 105 N Cedar St, Gleason, 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: 1225083991
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2365427853
- Enrollment ID: O20191021003103
Medical Identifiers
Medical identifiers for Mckenzie Medical Center, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225083991 | NPI | - | NPPES |
| 3730458 | Medicaid | TN | |
| 3380640 | Other | TN | GROUP MEDICAID |
| 3380640 | Other | TN | MEDICARE GROUP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ODT1599 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | MD23833 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | APN15541 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APN15541 (Tennessee) | 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
105 N Cedar St,
Gleason, TN 38229-7264
Ph: (731) 648-5634 |
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