| Mosheim Recovery Associates | |
|
65 Payne Rd Mosheim TN 37818-3206 | |
| (423) 422-2126 | |
| (423) 422-2136 |
| Full Name | Mosheim Recovery Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Payne Rd, Mosheim, Tennessee |
| Authorized Official Name and Position | Tony Yost (CEO) |
| Authorized Official Contact | 4234222126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosheim Recovery Associates 65 Payne Rd Mosheim TN 37818-3206 Ph: (423) 422-2126 | Mosheim Recovery Associates 65 Payne Rd Mosheim TN 37818-3206 Ph: (423) 422-2126 |
| NPI Number | 1003562372 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 8527453620 |
|---|---|
| Medicare Enrollment ID | O20220325001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003562372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tony E Yost |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003858796 PECOS PAC ID: 6608789938 Enrollment ID: I20031111000852 |
| Provider Name | Keith E Pratt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396773669 PECOS PAC ID: 3274561394 Enrollment ID: I20050730000130 |
| Provider Name | Pyung Jay Suh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295779148 PECOS PAC ID: 2860478922 Enrollment ID: I20060119000580 |
| Provider Name | Andrew N Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558562850 PECOS PAC ID: 8729189881 Enrollment ID: I20071204000815 |