Yn Pakkala M.d, P.c - Medicare Primary Care in Bolivar, TN

Yn Pakkala M.d, P.c is a medicare enrolled primary clinic (General Practice) in Bolivar, Tennessee. The current practice location for Yn Pakkala M.d, P.c is 630 Nuckolls Rd, Bolivar, Tennessee. For appointments, you can reach them via phone at (731) 658-6011. The mailing address for Yn Pakkala M.d, P.c is 630 Nuckolls Rd, Bolivar, Tennessee and phone number is (731) 658-6011.

Yn Pakkala M.d, P.c is licensed to practice in Tennessee (license number MD9916). The clinic also participates in the medicare program and its NPI number is 1841555141. 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) 658-6011.

Contact Information

Yn Pakkala M.d, P.c
630 Nuckolls Rd
Bolivar
TN 38008-1532
(731) 658-6011
(731) 658-9884

Primary Care Clinic Profile

Full NameYn Pakkala M.d, P.c
SpecialityGeneral Practice
Location630 Nuckolls Rd, Bolivar, Tennessee
Authorized Official Name and PositionNithyananda Pakkala (DOCTOR)
Authorized Official Contact7316586011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Yn Pakkala M.d, P.c
630 Nuckolls Rd
Bolivar
TN 38008-1532

Ph: (731) 658-6011
Yn Pakkala M.d, P.c
630 Nuckolls Rd
Bolivar
TN 38008-1532

Ph: (731) 658-6011

NPI Details:

NPI Number1841555141
Provider Enumeration Date07/12/2012
Last Update Date09/09/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6002057486
Medicare Enrollment IDO20130726000733

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Medical Identifiers

Medical identifiers for Yn Pakkala M.d, P.c such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841555141NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice MD9916 (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. Yn Pakkala M.d, P.c acts as a billing entity for following providers:
Provider NameNithyananda Pakkala
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578558607
PECOS PAC ID: 3274774658
Enrollment ID: I20130726000746

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General Practice in Bolivar, TN

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Medicare: Not Enrolled in Medicare
Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-2120    
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Medicare: Not Enrolled in Medicare
Practice Location: 629 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3388    Fax: 731-659-3131
New Primecare Clinics, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 622 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-2120    Fax: 731-659-2909
West Tennessee Medical Group Primary Care Bolivar
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-658-3100    
Fast Pace Medical Clinic Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1359 W Market St, Bolivar, TN 38008
Phone: 731-361-1003    Fax: 731-361-1004
Unity Health & Wellness Llc
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Medicare: Medicare Enrolled
Practice Location: 107 Tennessee St, Bolivar, TN 38008
Phone: 731-212-3196    Fax: 731-212-3193
Hatchie Clinic P C
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Medicare: Not Enrolled in Medicare
Practice Location: 640 Nuckolls Rd, Bolivar, TN 38008
Phone: 731-659-2273    Fax: 731-659-2777

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