Allardt Family Care Llc - Medicare Primary Care in Allardt, TN

Allardt Family Care Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Allardt, Tennessee. The current practice location for Allardt Family Care Llc is 2009 Michigan Avenue, Allardt, Tennessee. For appointments, you can reach them via phone at (931) 303-6993. The mailing address for Allardt Family Care Llc is Po Box 190, Allardt, Tennessee and phone number is () -.

Allardt Family Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548887482. 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 (931) 303-6993.

Contact Information

Allardt Family Care Llc
2009 Michigan Avenue
Allardt
TN 38504
(931) 303-6993
Not Available

Primary Care Clinic Profile

Full NameAllardt Family Care Llc
SpecialityClinic/Center
Location2009 Michigan Avenue, Allardt, Tennessee
Authorized Official Name and PositionPaul Roger Koger (MANAGING MEMBER)
Authorized Official Contact9317529485
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Allardt Family Care Llc
Po Box 190
Allardt
TN 38504-0190

Ph: () -
Allardt Family Care Llc
2009 Michigan Avenue
Allardt
TN 38504

Ph: (931) 303-6993

NPI Details:

NPI Number1548887482
Provider Enumeration Date06/26/2020
Last Update Date03/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8123445178
Medicare Enrollment IDO20200904001193

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Medical Identifiers

Medical identifiers for Allardt Family Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548887482NPI-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. Allardt Family Care Llc acts as a billing entity for following providers:
Provider NamePaul R Koger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235659137
PECOS PAC ID: 8921357773
Enrollment ID: I20180828000907

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Clinic/Center in Allardt, TN


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