| Dresden Family Clinic Llc | |
|
130 E Locust St Dresden TN 38225-1467 | |
| (731) 364-3196 | |
| (731) 364-5359 |
| Full Name | Dresden Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 E Locust St, Dresden, Tennessee |
| Authorized Official Name and Position | Kumar P Yogesh (MD/OWNER) |
| Authorized Official Contact | 7313649905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dresden Family Clinic Llc Po Box 525 Dresden TN 38225-0525 Ph: (731) 394-9905 | Dresden Family Clinic Llc 130 E Locust St Dresden TN 38225-1467 Ph: (731) 364-3196 |
| NPI Number | 1306271994 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 8426283441 |
|---|---|
| Medicare Enrollment ID | O20131029001864 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306271994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Kumar P Yogesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366430993 PECOS PAC ID: 4880689769 Enrollment ID: I20040419001632 |
Dresden Medical Associates, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Locust St, Dresden, TN 38225 Phone: 731-364-3196 Fax: 731-364-5359 |