| Grabenstein Family Practice | |
|
1822 Memorial Drive Clarksville TN 37043 | |
| (931) 552-8010 | |
| (931) 551-3118 |
| Full Name | Grabenstein Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1822 Memorial Drive, Clarksville, Tennessee |
| Authorized Official Name and Position | William Grabenstein (OWNER) |
| Authorized Official Contact | 9315528010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grabenstein Family Practice 1822 Memorial Drive Clarksville TN 37043 Ph: (931) 552-8010 | Grabenstein Family Practice 1822 Memorial Drive Clarksville TN 37043 Ph: (931) 552-8010 |
| NPI Number | 1891861274 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 07/29/2015 |
| Medicare PECOS PAC ID | 9032156864 |
|---|---|
| Medicare Enrollment ID | O20050413000879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891861274 | NPI | - | NPPES |
| 3728817 | Medicaid | TN | |
| 4102303 | Other | TN | BLUE CROSS |
| 4102307 | Other | TN | BLUE CROSS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | William P Grabenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003013160 PECOS PAC ID: 6103863931 Enrollment ID: I20050419001400 |
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