Perry County Medical Center Inc - Medicare Primary Care in Linden, TN

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Perry County Medical Center Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Linden, Tennessee. The current practice location for Perry County Medical Center Inc is 115 E Brooklyn St, Linden, Tennessee. For appointments, you can reach them via phone at (931) 589-2104. The mailing address for Perry County Medical Center Inc is Po Box 916, 115 East Brooklyn Street, Linden, Tennessee and phone number is (931) 589-2104.

Perry County Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154322303. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (931) 589-2104.

Contact Information

Perry County Medical Center Inc
115 E Brooklyn St
Linden
TN 37096-3515
(931) 589-2104
(931) 589-2513

Map and Direction


Primary Care Clinic Profile

Full NamePerry County Medical Center Inc
SpecialityClinic/Center
Location115 E Brooklyn St, Linden, Tennessee
Authorized Official Name and PositionPhillip B. Tatum (CEO)
Authorized Official Contact9315892104
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Perry County Medical Center Inc
Po Box 916
115 East Brooklyn Street
Linden
TN 37096-0916

Ph: (931) 589-2104		Perry County Medical Center Inc
115 E Brooklyn St
Linden
TN 37096-3515

Ph: (931) 589-2104

NPI Details:

NPI Number1154322303
Provider Enumeration Date08/09/2005
Last Update Date02/26/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4981706330
Medicare Enrollment IDO20070303000037

Medical Identifiers

Medical identifiers for Perry County Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154322303NPI-NPPES
3384590MedicaidTN
0443869MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Perry County Medical Center Inc acts as a billing entity for following providers:
Provider NameJewyl Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154413243
PECOS PAC ID: 2163424250
Enrollment ID: I20070201000589
Provider NamePhillip B Tatum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992736334
PECOS PAC ID: 0143322594
Enrollment ID: I20070303000049
Provider NameJeffrey G Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922095561
PECOS PAC ID: 9739142209
Enrollment ID: I20100805000562
Provider NameKristy R King
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841278546
PECOS PAC ID: 5597932046
Enrollment ID: I20120124000518
Provider NameSherry L Tidwell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265707533
PECOS PAC ID: 7012163025
Enrollment ID: I20120807000686
Provider NameVivian Denise Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144643461
PECOS PAC ID: 0345472742
Enrollment ID: I20140417002147
Provider NameKiara Johns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447798558
PECOS PAC ID: 3870853682
Enrollment ID: I20180215001196
Provider NameAlicia Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699223487
PECOS PAC ID: 8022397439
Enrollment ID: I20181015001526
Provider NameStephanie Jean Kennedy-southall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588156483
PECOS PAC ID: 3274886940
Enrollment ID: I20181025002226
Provider NameAmanda G Deason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831676840
PECOS PAC ID: 3274879309
Enrollment ID: I20190110003188
Provider NameHannah P Dixon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932719770
PECOS PAC ID: 8820415912
Enrollment ID: I20200903002497
Provider NameTywanda Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194960302
PECOS PAC ID: 8325221674
Enrollment ID: I20211115001038
Provider NameTina M Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881142784
PECOS PAC ID: 9234517145
Enrollment ID: I20220606001768
Provider NameAkishna Glasper-williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629360706
PECOS PAC ID: 7113203100
Enrollment ID: I20230105000269
Provider NameDerrell Thomas Seigler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467222315
PECOS PAC ID: 4688027121
Enrollment ID: I20240131002519
Provider NameKirti Pravin Lokhande
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1659713154
PECOS PAC ID: 2365986650
Enrollment ID: I20240627001698

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.