Allardt Family Care Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Allardt, Tennessee. The current practice location for Allardt Family Care Llc is 2009 Michigan Avenue, Allardt, Tennessee. For appointments, you can reach them via phone at
(931) 303-6993. The mailing address for Allardt Family Care Llc is Po Box 190, Allardt, Tennessee and phone number is () -.
Allardt Family Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1548887482. 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
(931) 303-6993.
Primary Care Clinic Profile
| Full Name | Allardt Family Care Llc |
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| Speciality | Clinic/Center |
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| Location | 2009 Michigan Avenue, Allardt, Tennessee |
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| Authorized Official Name and Position | Paul Roger Koger (MANAGING MEMBER) |
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| Authorized Official Contact | 9317529485 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Allardt Family Care Llc
Po Box 190
Allardt
TN 38504-0190
Ph: () - | Allardt Family Care Llc
2009 Michigan Avenue
Allardt
TN 38504
Ph: (931) 303-6993 |
NPI Details:
| NPI Number | 1548887482 |
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| Provider Enumeration Date | 06/26/2020 |
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| Last Update Date | 03/09/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 8123445178 |
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| Medicare Enrollment ID | O20200904001193 |
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Medical Identifiers
Medical identifiers for Allardt Family Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548887482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | (* (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.
Allardt Family Care Llc acts as a billing entity for following providers:
| Provider Name | Paul R Koger |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1235659137
PECOS PAC ID: 8921357773
Enrollment ID: I20180828000907 |
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