Brown Behavioral Health Services - Medicare Mental Health Clinic in Bolivar, TN

Brown Behavioral Health Services is a medicare enrolled mental health clinic (Nurse Practitioner - Psychiatric/mental Health) in Bolivar, Tennessee. The current practice location for Brown Behavioral Health Services is 623 Moss Ln, Bolivar, Tennessee. For appointments, you can reach them via phone at (901) 864-9563. The mailing address for Brown Behavioral Health Services is 623 Moss Ln, Bolivar, Tennessee and phone number is (901) 864-9563.

Brown Behavioral Health Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699416636. 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 (901) 864-9563.

Contact Information

Brown Behavioral Health Services
623 Moss Ln
Bolivar
TN 38008-1074
(901) 864-9563
Not Available

Mental Health Clinic Profile

Full NameBrown Behavioral Health Services
SpecialityNurse Practitioner
Location623 Moss Ln, Bolivar, Tennessee
Authorized Official Name and PositionAvanti Cross-brown (PMHNP)
Authorized Official Contact7312289068
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brown Behavioral Health Services
623 Moss Ln
Bolivar
TN 38008-1074

Ph: (901) 864-9563
Brown Behavioral Health Services
623 Moss Ln
Bolivar
TN 38008-1074

Ph: (901) 864-9563

NPI Details:

NPI Number1699416636
Provider Enumeration Date04/05/2022
Last Update Date09/16/2023
Certification Date08/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2668850710
Medicare Enrollment IDO20220602001208

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Medical Identifiers

Medical identifiers for Brown Behavioral Health Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699416636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (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. Brown Behavioral Health Services acts as a billing entity for following providers:
Provider NameAvanti Cross-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144846767
PECOS PAC ID: 6002219607
Enrollment ID: I20210720001879

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Provider NameKelley Catherine Lewin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851777270
PECOS PAC ID: 4688078231
Enrollment ID: I20210804003056

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Provider NameJessica Lynn Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376205617
PECOS PAC ID: 1759743743
Enrollment ID: I20230808001034

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Nurse Practitioner in Bolivar, TN

Quinco Mental Health Center
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 10710 Old Highway 64, Bolivar, TN 38008
Phone: 731-658-6113    Fax: 731-658-6165
Springfield Neurology
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 107 Tennessee St, Bolivar, TN 38008
Phone: 615-384-2411    

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