45 Urgent Care, P.C. - Medicare Primary Care in Jackson, TN

  1. Home
  2. Primary Care Clinics
  3. TN
  4. Jackson
45 Urgent Care, P.C. is a medicare enrolled primary clinic (Family Medicine) in Jackson, Tennessee. The current practice location for 45 Urgent Care, P.C. is 149 N Star Dr, Jackson, Tennessee. For appointments, you can reach them via phone at (731) 554-0571. The mailing address for 45 Urgent Care, P.C. is 2012 Greystone Sq, Jackson, Tennessee and phone number is (731) 664-6998.

45 Urgent Care, P.C. is licensed to practice in Tennessee (license number 34403). The clinic also participates in the medicare program and its NPI number is 1912326539. 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 (731) 554-0571.

Contact Information

45 Urgent Care, P.C.
149 N Star Dr
Jackson
TN 38305-5634
(731) 554-0571
(731) 664-7161

Map and Direction


Primary Care Clinic Profile

Full Name45 Urgent Care, P.C.
SpecialityFamily Medicine
Location149 N Star Dr, Jackson, Tennessee
Authorized Official Name and PositionShannon L Bone (PRESIDENT)
Authorized Official Contact7316646998
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
45 Urgent Care, P.C.
2012 Greystone Sq
Jackson
TN 38305-3575

Ph: (731) 664-6998		45 Urgent Care, P.C.
149 N Star Dr
Jackson
TN 38305-5634

Ph: (731) 554-0571

NPI Details:

NPI Number1912326539
Provider Enumeration Date04/10/2014
Last Update Date03/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID8628299617
Medicare Enrollment IDO20141015002196

Medical Identifiers

Medical identifiers for 45 Urgent Care, P.C. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912326539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 34403 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. 45 Urgent Care, P.C. acts as a billing entity for following providers:
Provider NameMark W Fowler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144200965
PECOS PAC ID: 7810925179
Enrollment ID: I20050728001096
Provider NameMary B Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972855724
PECOS PAC ID: 3375794126
Enrollment ID: I20121105000118
Provider NameMeredith M Edwards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427301522
PECOS PAC ID: 5991958837
Enrollment ID: I20121231000231
Provider NameStacey Groves
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1114298684
PECOS PAC ID: 1951605971
Enrollment ID: I20160210002931
Provider NameStephanie Jill Toney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205358090
PECOS PAC ID: 8224394440
Enrollment ID: I20171103001983
Provider NameBrittany R Rauchle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992223473
PECOS PAC ID: 7810255387
Enrollment ID: I20171212000469
Provider NameChad Zawacki
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1700372109
PECOS PAC ID: 9133470891
Enrollment ID: I20180919004326
Provider NameBianca Wade
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710390018
PECOS PAC ID: 6204177405
Enrollment ID: I20190417001123
Provider NameDavid J Beachum
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1881244259
PECOS PAC ID: 9234563610
Enrollment ID: I20191217002117
Provider NameGlenn D Babus
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1700867413
PECOS PAC ID: 8022007640
Enrollment ID: I20200511002042
Provider NameSequoyha R Outlaw
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659921948
PECOS PAC ID: 1951732288
Enrollment ID: I20200520002220
Provider NameJoshua Stephen White
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1689278269
PECOS PAC ID: 7416363999
Enrollment ID: I20210308002054
Provider NameLauren K Putman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902542426
PECOS PAC ID: 1759761570
Enrollment ID: I20220711000430
Provider NameLajacqua Rivers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063113660
PECOS PAC ID: 7810423787
Enrollment ID: I20241216002566
Provider NameCrestus William Roser
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1639810641
PECOS PAC ID: 6901333012
Enrollment ID: I20241231000481
Provider NameLucas F Ward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891556668
PECOS PAC ID: 1759882749
Enrollment ID: I20260108003244

Reviews and Comments

Other Primary Care Clinics in Jackson, TN

Therapy & Learning Center Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 32 Garland Dr, Jackson, TN 38305
Phone: 731-668-3322    Fax: 731-664-2491
Wellness Clinic and Family Care PLLC
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 21 Meridian Springs Dr, Jackson, TN 38301
Phone: 731-256-0526    Fax: 731-256-1720
Ultimate Health Clinic North
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16 Murray Guard Dr Ste B, Jackson, TN 38305
Phone: 731-660-0887    Fax: 731-660-9996
West Tennessee Medical Group UT Medicine
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 294 Summar Dr, Jackson, TN 38301
Phone: 731-423-1932    Fax: 731-660-8739
The Medical Clinic of Jackson
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 587 Skyline Dr, Jackson, TN 38301
Phone: 731-424-8922    Fax: 731-423-2922
West Tennessee Medical Group Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 620 Skyline Dr, Jackson, TN 38301
Phone: 731-660-8730    Fax: 731-660-8739

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.