3 Ple O Llpc - Medicare Primary Care in Red Boiling Springs, TN

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3 Ple O Llpc is a medicare enrolled primary clinic (Family Medicine) in Red Boiling Springs, Tennessee. The current practice location for 3 Ple O Llpc is 165 Dale St, Red Boiling Springs, Tennessee. For appointments, you can reach them via phone at (615) 699-3169. The mailing address for 3 Ple O Llpc is 209 College St, Lafayette, Tennessee and phone number is (615) 406-8891.

3 Ple O Llpc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508488800. 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 (615) 699-3169.

Contact Information

3 Ple O Llpc
165 Dale St
Red Boiling Springs
TN 37150-2102
(615) 699-3169
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name3 Ple O Llpc
SpecialityFamily Medicine
Location165 Dale St, Red Boiling Springs, Tennessee
Authorized Official Name and PositionOlufemi Odunusi (CEO)
Authorized Official Contact6154068891
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
3 Ple O Llpc
209 College St
Lafayette
TN 37083-1701

Ph: (615) 406-8891		3 Ple O Llpc
165 Dale St
Red Boiling Springs
TN 37150-2102

Ph: (615) 699-3169

NPI Details:

NPI Number1508488800
Provider Enumeration Date05/11/2020
Last Update Date08/07/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1557788460
Medicare Enrollment IDO20200824001761

Medical Identifiers

Medical identifiers for 3 Ple O Llpc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508488800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. 3 Ple O Llpc acts as a billing entity for following providers:
Provider NameToby A Hampton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831192699
PECOS PAC ID: 2062485691
Enrollment ID: I20040812001510
Provider NameEdna L Woodard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467483164
PECOS PAC ID: 2264406636
Enrollment ID: I20040823000081
Provider NameOlufemi O Odunusi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861541351
PECOS PAC ID: 9133021454
Enrollment ID: I20051130000325
Provider NameEsther Ono-emmanuel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083007314
PECOS PAC ID: 4183929201
Enrollment ID: I20160226000764
Provider NameRoseann Taylor Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497287304
PECOS PAC ID: 2264790799
Enrollment ID: I20171211001403

Reviews and Comments


Family Medicine in Red Boiling Springs, TN

Frank T Rutherford Memorial Hospital, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 718 Lafayette Rd, Red Boiling Springs, TN 37150
Phone: 615-699-4035    

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.