Agape Family Healthcare Clinic - Medicare Primary Care in Jackson, TN

Agape Family Healthcare Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Jackson, Tennessee. The current practice location for Agape Family Healthcare Clinic is 1124 Whitehall St, Jackson, Tennessee. For appointments, you can reach them via phone at (731) 616-4468. The mailing address for Agape Family Healthcare Clinic is 2156 N Highland Ave # B108, Jackson, Tennessee and phone number is (731) 616-4468.

Agape Family Healthcare Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083984298. 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) 616-4468.

Contact Information

Agape Family Healthcare Clinic
1124 Whitehall St
Jackson
TN 38301-8742
(731) 616-4468
Not Available

Primary Care Clinic Profile

Full NameAgape Family Healthcare Clinic
SpecialityClinic/Center
Location1124 Whitehall St, Jackson, Tennessee
Authorized Official Name and PositionCynthia Early (FAMILY NURSE PRACTITIONER)
Authorized Official Contact7316164468
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agape Family Healthcare Clinic
2156 N Highland Ave # B108
Jackson
TN 38305-4915

Ph: (731) 616-4468
Agape Family Healthcare Clinic
1124 Whitehall St
Jackson
TN 38301-8742

Ph: (731) 616-4468

NPI Details:

NPI Number1083984298
Provider Enumeration Date01/04/2012
Last Update Date01/04/2012

Medicare PECOS Information:

Medicare PECOS PAC ID1052579893
Medicare Enrollment IDO20120224000017

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Medical Identifiers

Medical identifiers for Agape Family Healthcare Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083984298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Agape Family Healthcare Clinic acts as a billing entity for following providers:
Provider NameCynthia A Early
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881644862
PECOS PAC ID: 5597729954
Enrollment ID: I20041116000108

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