Restoration Clinic - Medicare Primary Care in Decatur, TN

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Restoration Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Decatur, Tennessee. The current practice location for Restoration Clinic is 17619 State Highway 58 N Ste C, Decatur, Tennessee. For appointments, you can reach them via phone at (423) 506-3781. The mailing address for Restoration Clinic is Po Box 1094, Decatur, Tennessee and phone number is (423) 506-3781.

Restoration Clinic is licensed to practice in Tennessee (license number ). The clinic also participates in the medicare program and its NPI number is 1205248796. 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 (423) 506-3781.

Contact Information

Restoration Clinic
17619 State Highway 58 N Ste C
Decatur
TN 37322-7882
(423) 506-3781
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameRestoration Clinic
SpecialityClinic/Center
Location17619 State Highway 58 N Ste C, Decatur, Tennessee
Authorized Official Name and PositionEnglish Paige Roberts (OWNER)
Authorized Official Contact4235063781
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Restoration Clinic
Po Box 1094
Decatur
TN 37322-1094

Ph: (423) 506-3781		Restoration Clinic
17619 State Highway 58 N Ste C
Decatur
TN 37322-7882

Ph: (423) 506-3781

NPI Details:

NPI Number1205248796
Provider Enumeration Date06/02/2014
Last Update Date04/08/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1456577451
Medicare Enrollment IDO20140729000468

Medical Identifiers

Medical identifiers for Restoration Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205248796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (Tennessee)Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Restoration Clinic acts as a billing entity for following providers:
Provider NameLarry G Crisp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275693921
PECOS PAC ID: 9537116652
Enrollment ID: I20050331001051
Provider NameEnglish Paige Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326384991
PECOS PAC ID: 2365668365
Enrollment ID: I20140729000525
Provider NameJanet M Reece
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306221213
PECOS PAC ID: 5799094736
Enrollment ID: I20151014001998
Provider NameTracey Jolene Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568918878
PECOS PAC ID: 4587940952
Enrollment ID: I20170419001748
Provider NameHannah Toomey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023540291
PECOS PAC ID: 7113273491
Enrollment ID: I20180628000973
Provider NameAmanda Ann Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467935817
PECOS PAC ID: 4880931245
Enrollment ID: I20190123004221
Provider NameKerri Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255804019
PECOS PAC ID: 6406266832
Enrollment ID: I20201113000525
Provider NameJamie Mclemore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134729965
PECOS PAC ID: 4981016383
Enrollment ID: I20201208002905
Provider NameKaren L Eller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720661549
PECOS PAC ID: 5799187829
Enrollment ID: I20210713001092
Provider NamePaula Leann White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932758828
PECOS PAC ID: 7214331081
Enrollment ID: I20210802002936
Provider NameSheri D Burns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508697681
PECOS PAC ID: 6901334481
Enrollment ID: I20250111000251
Provider NameSara J Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366273104
PECOS PAC ID: 2264960749
Enrollment ID: I20250111000288
Provider NameMaddison Jd White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487457974
PECOS PAC ID: 1355860016
Enrollment ID: I20250527002039

Reviews and Comments


Clinic/Center in Decatur, TN

Restoration Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 16850 State Highway 58 South, Suite A, Decatur, TN 37322
Phone: 423-506-3781    Fax: 423-454-0125
R. Shane Roberts, M.d., Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 398 N Main St, Decatur, TN 37322
Phone: 423-334-2222    Fax: 423-334-2255
R. Shane Roberts, M.d., Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 398 N Main St, Decatur, TN 37322
Phone: 423-334-2222    Fax: 423-334-2255
Ocoee Regional Health Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 305 River Rd, Decatur, TN 37322
Phone: 423-334-4154    Fax: 423-334-4195

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.