| Patient's Clinic | |
|
709 Mcfarland St Morristown TN 37814-3977 | |
| (423) 851-4379 | |
| Not Available |
| Full Name | Patient's Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 709 Mcfarland St, Morristown, Tennessee |
| Authorized Official Name and Position | Suresh Kumar Nekuri (CEO) |
| Authorized Official Contact | 4233531175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient's Clinic 709 Mcfarland St Morristown TN 37814-3977 Ph: (423) 851-4379 | Patient's Clinic 709 Mcfarland St Morristown TN 37814-3977 Ph: (423) 851-4379 |
| NPI Number | 1710382585 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 2062737257 |
|---|---|
| Medicare Enrollment ID | O20150210002168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710382585 | NPI | - | NPPES |
| 1512614 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Suresh K Nekuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619978657 PECOS PAC ID: 5799741625 Enrollment ID: I20050727000220 |
| Provider Name | Casey L Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174926372 PECOS PAC ID: 5799001749 Enrollment ID: I20150310001056 |
| Provider Name | Jessica T Nekuri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255961280 PECOS PAC ID: 1759710601 Enrollment ID: I20200329000747 |
| Provider Name | Coba Lanna Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902533540 PECOS PAC ID: 5395199384 Enrollment ID: I20230925002790 |
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