Bluegrass Legacy Healthcare, Pllc - Medicare Primary Care in Hendersonville, TN

Bluegrass Legacy Healthcare, Pllc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Hendersonville, Tennessee. The current practice location for Bluegrass Legacy Healthcare, Pllc is 105 Glen Oak Blvd Ste 202, Hendersonville, Tennessee. For appointments, you can reach them via phone at (615) 826-2265. The mailing address for Bluegrass Legacy Healthcare, Pllc is 105 Glen Oak Blvd Ste 202, Hendersonville, Tennessee and phone number is (615) 826-2265.

Bluegrass Legacy Healthcare, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467047258. 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 (615) 826-2265.

Contact Information

Bluegrass Legacy Healthcare, Pllc
105 Glen Oak Blvd Ste 202
Hendersonville
TN 37075-3058
(615) 826-2265
(615) 826-4616

Primary Care Clinic Profile

Full NameBluegrass Legacy Healthcare, Pllc
SpecialityFamily Medicine
Location105 Glen Oak Blvd Ste 202, Hendersonville, Tennessee
Authorized Official Name and PositionMelissa Leach (OFFICE MANAGER)
Authorized Official Contact6158262265
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bluegrass Legacy Healthcare, Pllc
105 Glen Oak Blvd Ste 202
Hendersonville
TN 37075-3058

Ph: (615) 826-2265
Bluegrass Legacy Healthcare, Pllc
105 Glen Oak Blvd Ste 202
Hendersonville
TN 37075-3058

Ph: (615) 826-2265

NPI Details:

NPI Number1467047258
Provider Enumeration Date03/04/2021
Last Update Date04/07/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7618386020
Medicare Enrollment IDO20210513002696

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Medical Identifiers

Medical identifiers for Bluegrass Legacy Healthcare, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467047258NPI-NPPES
4112769OtherTNBCBST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine (* (Not Available))Primary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bluegrass Legacy Healthcare, Pllc acts as a billing entity for following providers:
Provider NameAbigail J Eubank
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588861207
PECOS PAC ID: 2163448366
Enrollment ID: I20051018000078

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