Mind And Body Healthcare - Medicare Mental Health Clinic in Jackson, TN

Mind And Body Healthcare is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Jackson, Tennessee. The current practice location for Mind And Body Healthcare is 137 Terrace Pl, Jackson, Tennessee. For appointments, you can reach them via phone at (731) 435-3060. The mailing address for Mind And Body Healthcare is 137 Terrace Pl, Jackson, Tennessee and phone number is (731) 435-3060.

Mind And Body Healthcare is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043884992. 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 (731) 435-3060.

Contact Information

Mind And Body Healthcare
137 Terrace Pl
Jackson
TN 38301-4836
(731) 435-3060
Not Available

Mental Health Clinic Profile

Full NameMind And Body Healthcare
SpecialityClinic/Center
Location137 Terrace Pl, Jackson, Tennessee
Authorized Official Name and PositionLori Kay Jenkins (OWNER/ NURSE PRACTITIONER)
Authorized Official Contact7314353060
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mind And Body Healthcare
137 Terrace Pl
Jackson
TN 38301-4836

Ph: (731) 435-3060
Mind And Body Healthcare
137 Terrace Pl
Jackson
TN 38301-4836

Ph: (731) 435-3060

NPI Details:

NPI Number1043884992
Provider Enumeration Date05/15/2021
Last Update Date07/25/2021
Certification Date07/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID5597150862
Medicare Enrollment IDO20220323002101

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Medical Identifiers

Medical identifiers for Mind And Body Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043884992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (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. Mind And Body Healthcare acts as a billing entity for following providers:
Provider NameLori K Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740284728
PECOS PAC ID: 9234119678
Enrollment ID: I20040724000413

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