| Preferred Family Medical Care Llc | |
|
9026 Hiwassee St Ne Charleston TN 37310-5305 | |
| (423) 665-3666 | |
| (423) 584-6747 |
| Full Name | Preferred Family Medical Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9026 Hiwassee St Ne, Charleston, Tennessee |
| Authorized Official Name and Position | Keith L Kidd (CEO) |
| Authorized Official Contact | 4236653666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Family Medical Care Llc 9026 Hiwassee Street Ne Po Box 15 Charleston TN 37310 Ph: (423) 665-3666 | Preferred Family Medical Care Llc 9026 Hiwassee St Ne Charleston TN 37310-5305 Ph: (423) 665-3666 |
| NPI Number | 1699188029 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 6800013608 |
|---|---|
| Medicare Enrollment ID | O20140818001619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699188029 | NPI | - | NPPES |
| Q007277 | Medicaid | TN |
| Provider Name | Lloyd J Rimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902844772 PECOS PAC ID: 6901871946 Enrollment ID: I20051013000986 |
| Provider Name | Keith L Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811168941 PECOS PAC ID: 0446324404 Enrollment ID: I20080808000540 |
| Provider Name | Gerard Karl Mazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568504918 PECOS PAC ID: 0244270452 Enrollment ID: I20110307000257 |
| Provider Name | Joshua B Viar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104535624 PECOS PAC ID: 5294191581 Enrollment ID: I20230511000517 |
Athens Physicians Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8904 Hiwassee St Ne, Charleston, TN 37310 Phone: 423-810-0031 |