| Covenant Pediatrics, Pllc | |
|
421 Old Riceville Rd Ste 2 Athens TN 37303-3074 | |
| (423) 744-8755 | |
| (423) 744-8568 |
| Full Name | Covenant Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 421 Old Riceville Rd Ste 2, Athens, Tennessee |
| Authorized Official Name and Position | Omer Breeden (BUSINESS MANAGER) |
| Authorized Official Contact | 4237448755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Pediatrics, Pllc 421 Old Riceville Rd Ste 2 Athens TN 37303-3074 Ph: (423) 744-8755 | Covenant Pediatrics, Pllc 421 Old Riceville Rd Ste 2 Athens TN 37303-3074 Ph: (423) 744-8755 |
| NPI Number | 1659670412 |
|---|---|
| Provider Enumeration Date | 03/19/2011 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 5092196261 |
|---|---|
| Medicare Enrollment ID | O20220719002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659670412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | MD19704 (Tennessee) | Primary |
Athens Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr Ste 100, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-746-4993 | |
Englewood Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 135 North Meadow Drive, Ste #a, Athens, TN 37303 Phone: 423-745-9715 Fax: 423-745-2440 | |
William R. Bowers Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 Cook Drive, Suite 102, Athens, TN 37303 Phone: 423-745-1277 Fax: 423-745-2188 | |
Donald H. Watters Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 200, Athens, TN 37303 Phone: 423-507-8369 Fax: 423-507-8387 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Congress Pkwy N Ste 800, Athens, TN 37303 Phone: 423-744-0890 Fax: 423-744-0849 | |
Medical Associates Of Athens Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Cook Dr, Suite 110, Athens, TN 37303 Phone: 423-746-0122 Fax: 423-745-9456 | |
United Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Washington Ave, Athens, TN 37303 Phone: 423-745-6610 Fax: 423-745-6360 |