| Kidzcare Pediatrics, Pllc | |
|
4233 Highway 411 Suite B Madisonville TN 37354-1571 | |
| (423) 745-7500 | |
| (423) 745-7501 |
| Full Name | Kidzcare Pediatrics, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4233 Highway 411, Madisonville, Tennessee |
| Authorized Official Name and Position | Saji Kottappura Gopinathan (PRESIDENT) |
| Authorized Official Contact | 4237457500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidzcare Pediatrics, Pllc Po Box 925 Athens TN 37371-0925 Ph: (423) 745-7500 | Kidzcare Pediatrics, Pllc 4233 Highway 411 Suite B Madisonville TN 37354-1571 Ph: (423) 745-7500 |
| NPI Number | 1215471198 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Medicare PECOS PAC ID | 4789728403 |
|---|---|
| Medicare Enrollment ID | O20170407000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215471198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chota Community Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Summit Medical Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Warren St, Madisonville, TN 37354 Phone: 423-442-5480 Fax: 423-442-4416 | |
Wil-sav Clinical Services Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4249 Highway 411 Ste 5, Madisonville, TN 37354 Phone: 423-442-9729 Fax: 423-442-5057 | |
Independent Physical Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4249 Highway 411 Ste 4, Madisonville, TN 37354 Phone: 423-436-0309 Fax: 423-436-0310 | |
Family Practice Associates, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4233 Highway 411, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 | |
Chota Community Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4798 New Highway 68, Madisonville, TN 37354 Phone: 423-442-2622 Fax: 423-442-5760 |