| Ultra Health Providers Ii Llc | |
|
4128 Old Jackson Rd Bells TN 38006-4261 | |
| (731) 394-1145 | |
| Not Available |
| Full Name | Ultra Health Providers Ii Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4128 Old Jackson Rd, Bells, Tennessee |
| Authorized Official Name and Position | Charles Richard Jerman (MEMBER) |
| Authorized Official Contact | 7312348120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Health Providers Ii Llc Po Box 26485 Dept 1138 Oklahoma City OK 73126 Ph: (731) 394-1145 | Ultra Health Providers Ii Llc 4128 Old Jackson Rd Bells TN 38006-4261 Ph: (731) 394-1145 |
| NPI Number | 1033956057 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 06/05/2025 |
| Medicare PECOS PAC ID | 5395284616 |
|---|---|
| Medicare Enrollment ID | O20240829003110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033956057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Gayle Schnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770958589 PECOS PAC ID: 5597067447 Enrollment ID: I20160108001151 |
| Provider Name | Stephanie Johnson Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306311832 PECOS PAC ID: 4587900857 Enrollment ID: I20210921001951 |
| Provider Name | Dalton Kristofer Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417690223 PECOS PAC ID: 6709263874 Enrollment ID: I20220510002104 |
| Provider Name | Lori Lynette Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437805942 PECOS PAC ID: 4880070010 Enrollment ID: I20220926002258 |
| Provider Name | Sheena Makerrin Mceachin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477242634 PECOS PAC ID: 9133585086 Enrollment ID: I20230518001184 |
| Provider Name | Tashamba Lashira Davis-denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972366730 PECOS PAC ID: 5294179297 Enrollment ID: I20240219000074 |
| Provider Name | Polly Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902669401 PECOS PAC ID: 5890134373 Enrollment ID: I20240430001603 |
| Provider Name | Hannah Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376378661 PECOS PAC ID: 8022543859 Enrollment ID: I20241203001042 |
| Provider Name | Latrice Janiva Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528783065 PECOS PAC ID: 4082085238 Enrollment ID: I20250204003211 |
| Provider Name | Brittany Danielle Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497569115 PECOS PAC ID: 0042740565 Enrollment ID: I20250212002035 |
| Provider Name | Ella Emmeline Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841016888 PECOS PAC ID: 9436679529 Enrollment ID: I20250219002504 |
Downtown Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Hopkins Avenue, Bells, TN 38006 Phone: 731-663-0951 Fax: 731-663-0941 | |
Liberty Medical Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4937 College St, Bells, TN 38006 Phone: 731-663-3530 Fax: 731-663-3531 | |
Ultra Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4128 Old Jackson Rd, Bells, TN 38006 Phone: 731-394-1145 |