| Charles H. Wilkens, M.d.,p.c. | |
|
131 Hospital Ln Jellico TN 37762-4404 | |
| (423) 784-7269 | |
| Not Available |
| Full Name | Charles H. Wilkens, M.d.,p.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 131 Hospital Ln, Jellico, Tennessee |
| Authorized Official Name and Position | Christy Timmins (CPC) |
| Authorized Official Contact | 4237840269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H. Wilkens, M.d.,p.c. Po Box 447 Jellico TN 37762-0447 Ph: (423) 784-7269 | Charles H. Wilkens, M.d.,p.c. 131 Hospital Ln Jellico TN 37762-4404 Ph: (423) 784-7269 |
| NPI Number | 1992841233 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 12/15/2023 |
| Medicare PECOS PAC ID | 8224073432 |
|---|---|
| Medicare Enrollment ID | O20050628000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992841233 | NPI | - | NPPES |
| 35001320 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Jellico Regional Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln Ste 100, Jellico, TN 37762 Phone: 423-933-1355 Fax: 423-933-1348 | |
Hcc Of Jellico Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 188 Hospital Ln, Jellico, TN 37762 Phone: 423-784-7252 |