The Surgical Clinic Pllc - Medicare in Nashville, TN

  1. Home
The Surgical Clinic Pllc is a medicare enrolled "Surgery" provider in Nashville, Tennessee. Their current practice location is 410 42nd Ave N Ste 400, Nashville, Tennessee. You can reach out to their office (for appointments etc.) via phone at (615) 346-6213.

The Surgical Clinic Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Surgical Clinic Pllc 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 1417983099.

Contact Information

The Surgical Clinic Pllc
410 42nd Ave N Ste 400,
Nashville, TN 37209-3658
(615) 346-6213
(615) 346-6225

Map and Direction




Healthcare Provider's Profile

Full NameThe Surgical Clinic Pllc
TypeFacility
SpecialitySurgery
Location410 42nd Ave N Ste 400, Nashville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417983099
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759271695
  • Enrollment ID: O20040316000974

Medical Identifiers

Medical identifiers for The Surgical Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417983099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Surgical Clinic Pllc acts as a billing entity for following providers:
Provider NameMark W Shelton
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1174574214
PECOS PAC ID: 6002709359
Enrollment ID: I20040422001511
Provider NameAlex B Fruin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528022019
PECOS PAC ID: 1254373475
Enrollment ID: I20050527000435
Provider NameJeffery B Dattilo
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1326022039
PECOS PAC ID: 6709822943
Enrollment ID: I20050628001240
Provider NameJim Bob Faulk
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1245237148
PECOS PAC ID: 1355378480
Enrollment ID: I20050720000942
Provider NameKenneth Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1619904596
PECOS PAC ID: 6709889090
Enrollment ID: I20060804000130
Provider NameJohn D Valentine
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1437178787
PECOS PAC ID: 5698867935
Enrollment ID: I20070816000593
Provider NameBassam Helou
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1407864069
PECOS PAC ID: 6800976622
Enrollment ID: I20080107000576
Provider NameWilliam Howard Polk
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1356349963
PECOS PAC ID: 2264321124
Enrollment ID: I20080428000189
Provider NameRoger A Bonau
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1588662225
PECOS PAC ID: 8224116595
Enrollment ID: I20080428000236
Provider NameJohn A Boskind
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710943519
PECOS PAC ID: 1951486570
Enrollment ID: I20080509000500
Provider NamePeter K Smith
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1821053703
PECOS PAC ID: 2466481825
Enrollment ID: I20080509000537
Provider NameEarl D Lett
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1790757755
PECOS PAC ID: 2567538309
Enrollment ID: I20080903000059
Provider NameWillie V Melvin
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487741583
PECOS PAC ID: 3375691405
Enrollment ID: I20090429000635
Provider NameClinton A Marlar
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1528115409
PECOS PAC ID: 0244381762
Enrollment ID: I20090623000784
Provider NameMarc Eliott Rosen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174593271
PECOS PAC ID: 2264458272
Enrollment ID: I20090804000872
Provider NameGeorge B Lynch
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447257274
PECOS PAC ID: 8729977681
Enrollment ID: I20100331000609
Provider NameTod R Bushman
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417952581
PECOS PAC ID: 1951486588
Enrollment ID: I20100505000274
Provider NameTodd H. Wilkens
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1356434856
PECOS PAC ID: 3678567393
Enrollment ID: I20100929000446
Provider NameMark Hinson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1972584514
PECOS PAC ID: 6305730920
Enrollment ID: I20101005000381
Provider NameBilly J Kim
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1942404728
PECOS PAC ID: 4789878596
Enrollment ID: I20101104001382
Provider NameWilliam R Cameron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639400252
PECOS PAC ID: 9638350242
Enrollment ID: I20110301000929
Provider NameDaniel Davidson Oxley
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174572796
PECOS PAC ID: 7618860065
Enrollment ID: I20111202000712
Provider NamePatrick S Wolf
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1467563965
PECOS PAC ID: 3274797501
Enrollment ID: I20120615000499
Provider NameDrew Howard Reynolds
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1073733093
PECOS PAC ID: 4789852187
Enrollment ID: I20120820000663
Provider NameAllen P Lee
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1326242199
PECOS PAC ID: 7214177088
Enrollment ID: I20130628000437
Provider NameTimothy William Bush
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1285920108
PECOS PAC ID: 2860617693
Enrollment ID: I20140710000878
Provider NameChad M Moss
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932336393
PECOS PAC ID: 3678792223
Enrollment ID: I20140915001347
Provider NameJohn B Kendrick
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1265621635
PECOS PAC ID: 6204055759
Enrollment ID: I20140915001768
Provider NameAdam A Richter
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1063671832
PECOS PAC ID: 8527370287
Enrollment ID: I20150709000105
Provider NameMechele Neal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821462276
PECOS PAC ID: 2860793239
Enrollment ID: I20151209002168
Provider NameJoshua Taylor
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1114164787
PECOS PAC ID: 1355657529
Enrollment ID: I20160804001884
Provider NameJulia Michelle Boll
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1629393004
PECOS PAC ID: 5294038576
Enrollment ID: I20170608002726
Provider NamePatrick T Davis
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003101684
PECOS PAC ID: 3577839117
Enrollment ID: I20171025003026
Provider NameMariana Isabel Chavez
Provider TypePractitioner - Surgical Oncology
Provider IdentifiersNPI Number: 1265787550
PECOS PAC ID: 3274807813
Enrollment ID: I20190619002050
Provider NameMary Nally
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1750645750
PECOS PAC ID: 3678870144
Enrollment ID: I20191205003222
Provider NameHanna R. Yager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467092031
PECOS PAC ID: 9133558737
Enrollment ID: I20200402001853
Provider NameLeah Anne Partlow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508409236
PECOS PAC ID: 4486085123
Enrollment ID: I20200512002950
Provider NamePatrick Yu
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1811330830
PECOS PAC ID: 1951541671
Enrollment ID: I20200810003250
Provider NameMary Hannah Thiele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831852037
PECOS PAC ID: 7719372507
Enrollment ID: I20220314001006
Provider NameChristopher M Braxton
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275064750
PECOS PAC ID: 2668742008
Enrollment ID: I20220915002186
Provider NameCarly Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477214161
PECOS PAC ID: 5092185173
Enrollment ID: I20230106000005
Provider NameMaelee Katherine Yang
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1588026900
PECOS PAC ID: 1759674856
Enrollment ID: I20230810002778
Provider NameCaleb J Fresh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013691146
PECOS PAC ID: 3274996152
Enrollment ID: I20230824002617
Provider NameMeredith Spruill Heppler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497039499
PECOS PAC ID: 3779930698
Enrollment ID: I20231114001123
Provider NameJames Thomas Griscom
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1760989131
PECOS PAC ID: 9335498534
Enrollment ID: I20240617002866
Provider NameGretchen C Edwards
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1043607815
PECOS PAC ID: 5496054033
Enrollment ID: I20240625000439
Provider NameJeffrey H Levine
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457344921
PECOS PAC ID: 5092857797
Enrollment ID: I20240718003187
Provider NameJacqueline C Carter Gustafson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023209632
PECOS PAC ID: 1456522499
Enrollment ID: I20241031002403

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. The Surgical Clinic Pllc 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 AddressPractice Location Address
The Surgical Clinic Pllc
Po Box 291626,
Nashville, TN 37229-1626

Ph: (615) 346-6213		The Surgical Clinic Pllc
410 42nd Ave N Ste 400,
Nashville, TN 37209-3658

Ph: (615) 346-6213

Reviews and Comments



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.