| Family Medicine Center | |
|
2700 Westside Dr Nw Suite 103 Cleveland TN 37312-3699 | |
| (423) 472-1511 | |
| (423) 479-9202 |
| Full Name | Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2700 Westside Dr Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Allan C Chastain (PARTNER) |
| Authorized Official Contact | 4234721511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center 2700 Westside Dr Nw Suite 103 Cleveland TN 37312-3699 Ph: (423) 472-1511 | Family Medicine Center 2700 Westside Dr Nw Suite 103 Cleveland TN 37312-3699 Ph: (423) 472-1511 |
| NPI Number | 1376682021 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 3971494766 |
|---|---|
| Medicare Enrollment ID | O20040322001413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376682021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Mindy E Wenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982784559 PECOS PAC ID: 1153329743 Enrollment ID: I20080610000434 |
| Provider Name | Dennis A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326151655 PECOS PAC ID: 6709777501 Enrollment ID: I20080719000120 |
| Provider Name | Ashley S Condo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366682924 PECOS PAC ID: 6800944281 Enrollment ID: I20090423000774 |
| Provider Name | William Augustus Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003827858 PECOS PAC ID: 5193616993 Enrollment ID: I20100922000904 |
| Provider Name | Allan C Chastain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508877341 PECOS PAC ID: 7113818915 Enrollment ID: I20100922000967 |
| Provider Name | Paul Daniel Boerema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396979233 PECOS PAC ID: 6800059353 Enrollment ID: I20120518000519 |
Cleveland Medical Associates, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1060 William Way Nw, Cleveland, TN 37312 Phone: 423-478-1050 Fax: 423-478-1075 | |
Benchmark Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Dunhill Pl Nw Ste B, Cleveland, TN 37311 Phone: 423-559-0444 Fax: 423-559-0103 | |
Donald E Robinson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1860 Executive Park Nw, Suite B, Cleveland, TN 37312 Phone: 423-476-7584 Fax: 423-476-7586 | |
Michael Moffatt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Clingan Ridge Dr. Nw, Cleveland, TN 37312 Phone: 423-339-3340 Fax: 423-339-9927 | |
Physician Onsite, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3570 Keith St Nw, Cleveland, TN 37312 Phone: 423-473-5026 | |
Skyridge Clinical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1060 Peerless Crossing, Ste 200, Cleveland, TN 37312 Phone: 423-479-4165 | |
Cleveland Family Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Westland Dr Sw, Cleveland, TN 37311 Phone: 423-338-8995 Fax: 423-614-5270 |