Orange Grove Center Inc

PAC ID

1850299124The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services, Part B Supplier - Clinic/Group Practice

Enrolled in

TN

Enrollments

2

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Orange Grove Center Inc

  dba Orange Grove Center Therapy Services

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1225199888
• Orange Grove Center, Inc.

  dba Orange Grove Center Primary Health Care Services

  • Adult Medicine Physician
  • Chattanooga, TN
  • NPI 1073668653

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

• Robert James Boehm, M.D.

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1033159793
• Randy Robert Heisser, MD

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1689620999
• Patrice Vivienne Henry, APRN

  • Family Nurse Practitioner
  • Ooltewah, TN
  • NPI 1063989150

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.