Southern Care Clinic Llc - Medicare Primary Care in Bean Station, TN

Southern Care Clinic Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Bean Station, Tennessee. The current practice location for Southern Care Clinic Llc is 1179 Highway 11w, Bean Station, Tennessee. For appointments, you can reach them via phone at (865) 898-8318. The mailing address for Southern Care Clinic Llc is Po Box 280, Bean Station, Tennessee and phone number is () -.

Southern Care Clinic Llc is licensed to practice in Tennessee (license number 13557). The clinic also participates in the medicare program and its NPI number is 1265771281. 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 (865) 898-8318.

Contact Information

Southern Care Clinic Llc
1179 Highway 11w
Bean Station
TN 37708-5809
(865) 898-8318
Not Available

Primary Care Clinic Profile

Full NameSouthern Care Clinic Llc
SpecialityClinic/Center
Location1179 Highway 11w, Bean Station, Tennessee
Authorized Official Name and PositionLatasha Jarnagin (OWNER)
Authorized Official Contact8658988318
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southern Care Clinic Llc
Po Box 280
Bean Station
TN 37708-0280

Ph: () -
Southern Care Clinic Llc
1179 Highway 11w
Bean Station
TN 37708-5809

Ph: (865) 898-8318

NPI Details:

NPI Number1265771281
Provider Enumeration Date02/11/2013
Last Update Date02/11/2013

Medicare PECOS Information:

Medicare PECOS PAC ID0244476026
Medicare Enrollment IDO20130424000209

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Medical Identifiers

Medical identifiers for Southern Care Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265771281NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 13557 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southern Care Clinic Llc acts as a billing entity for following providers:
Provider NameLatasha M Seal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699931857
PECOS PAC ID: 6709069669
Enrollment ID: I20110330000675

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Clinic/Center in Bean Station, TN

Bean Station Family Medicine, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1179 Highway 11w, Bean Station, TN 37708
Phone: 865-993-1070    Fax: 865-993-1075
Hometown Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1034 Main St Ste B, Bean Station, TN 37708
Phone: 865-203-5077    
Broadway Family Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1179 Highway 11w, Bean Station, TN 37708
Phone: 865-993-1070    Fax: 865-993-1075
William L. Martin Ii
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1030 Main St, Bean Station, TN 37708
Phone: 865-993-4135    Fax: 865-993-4108

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