| Milan Medical Center, P.c. | |
|
6041 Telecom Dr Milan TN 38358-3448 | |
| (731) 686-1505 | |
| (731) 686-8174 |
| Full Name | Milan Medical Center, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 6041 Telecom Dr, Milan, Tennessee |
| Authorized Official Name and Position | Shirley A Todd (OFFICE MANAGER) |
| Authorized Official Contact | 7316861505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milan Medical Center, P.c. 6041 Telecom Dr Milan TN 38358-3448 Ph: (731) 686-1505 | Milan Medical Center, P.c. 6041 Telecom Dr Milan TN 38358-3448 Ph: (731) 686-1505 |
| NPI Number | 1073739645 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 09/05/2019 |
| Medicare PECOS PAC ID | 4385737311 |
|---|---|
| Medicare Enrollment ID | O20070907000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073739645 | NPI | - | NPPES |
| 3384572 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Allen Mcadoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811974611 PECOS PAC ID: 7810080843 Enrollment ID: I20100914000898 |
| Provider Name | Wade Park Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731376 PECOS PAC ID: 0547353575 Enrollment ID: I20100916000310 |
| Provider Name | Jerry P Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144206962 PECOS PAC ID: 6800989831 Enrollment ID: I20101203000005 |
| Provider Name | Lindsay T Crocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488669 PECOS PAC ID: 3173708104 Enrollment ID: I20110506000064 |
| Provider Name | Patrick N Andre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386647303 PECOS PAC ID: 0446343479 Enrollment ID: I20120109000568 |
| Provider Name | Jean A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699137240 PECOS PAC ID: 8426341579 Enrollment ID: I20190925003502 |
Balance Medical And Rehab, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1133 S Main St, Milan, TN 38358 Phone: 731-686-8636 Fax: 731-686-8635 |