Easter Seals Tennessee is a
Community/behavioral Health based in Brentwood, Tennessee. Easter Seals Tennessee is licensed to practice in Tennessee (license number L000000009653) and their current practice location is
750 Old Hickory Blvd # 2-260, Brentwood, Tennessee. It can be reached at their office (for appointments etc.) via phone at
(615) 292-6640.
NPI number for Easter Seals Tennessee is 1609854116 and their current mailing address is 750 Old Hickory Blvd # 2-260, Brentwood, Tennessee. Easter Seals Tennessee
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609854116.
Healthcare Provider's Profile
| Full Name | Easter Seals Tennessee |
|---|
| Type | Facility |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 750 Old Hickory Blvd # 2-260, Brentwood, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609854116
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 02/04/2015
Medical Identifiers
Medical identifiers for Easter Seals Tennessee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609854116 | NPI | - | NPPES |
| 2013709 | Other | TN | AETNA PROVIDER # |
| 4078521 | Other | TN | BC/BS DME PROVIDER # |
| 3131908 | Other | TN | BC/BS PROVIDER # |
| 323 | Medicaid | TN | |
| 3131908 | Other | TN | TENNCARE PROVIDER # |
| 4078521 | Other | TN | TENNCARE DME PROVIDER # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | L000000009654 (Tennessee) | Secondary |
| 251S00000X | Community/behavioral Health | L000000009653 (Tennessee) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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. Easter Seals Tennessee 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 |
|---|
Easter Seals Tennessee
750 Old Hickory Blvd # 2-260,
Brentwood, TN 37027-4528
Ph: (615) 292-6640 | Easter Seals Tennessee
750 Old Hickory Blvd # 2-260,
Brentwood, TN 37027-4528
Ph: (615) 292-6640 |
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