| Sentef Medical Center | |
|
9380 Bradmore Lane Ste 104 Ooltewah TN 37363-4447 | |
| (423) 760-4630 | |
| (423) 760-4631 |
| Full Name | Sentef Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 9380 Bradmore Lane, Ooltewah, Tennessee |
| Authorized Official Name and Position | Lauren Walliser (PRESIDENT/OWNER) |
| Authorized Official Contact | 4237609630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sentef Medical Center 9380 Bradmore Lane Ste 104 Ooltewah TN 37363-4447 Ph: (423) 760-4630 | Sentef Medical Center 9380 Bradmore Lane Ste 104 Ooltewah TN 37363-4447 Ph: (423) 760-4630 |
| NPI Number | 1538958574 |
|---|---|
| Provider Enumeration Date | 05/05/2025 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Medicare PECOS PAC ID | 4284126681 |
|---|---|
| Medicare Enrollment ID | O20251124001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538958574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Gerard Mazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568504918 PECOS PAC ID: 0244270452 Enrollment ID: I20110307000257 |
| Provider Name | Lauren Walliser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023597341 PECOS PAC ID: 1153752837 Enrollment ID: I20200513001086 |
Sentef Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9380 Bradmore Ln Ste 104, Ooltewah, TN 37363 Phone: 423-760-4630 Fax: 423-760-4631 |
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Mckee Health Clinic Collegdale Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9298 Apison Pike, Ooltewah, TN 37363 Phone: 877-286-9799 Fax: 263-372-5586 |