Ultimate Health Clinic PC
A Medicare group practice based in Jackson, TN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8022194703), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8022194703
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- TN
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20080320000280 | TN | Part B Supplier - Clinic/Group Practice | 1669567707 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Ultimate Health Clinic PC
- Internal Medicine Physician
- Jackson, TN
- NPI 1669567707
-
Ultimate Health Clinic North
- Internal Medicine Physician
- Jackson, TN
- NPI 1013643998
Practice locations
- Jackson, TN2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (2).
-
Samuel Olaniyi Bada, M.D.
- Internal Medicine Physician
- Jackson, TN
- NPI 1770530586
-
Heather Burkeen
- Physician Assistant
- Jackson, TN
- NPI 1831831841
-
Shirley Ann Collier, APRN
- Family Nurse Practitioner
- Henderson, TN
- NPI 1780816413
-
Sean Phillips, PA-C
- Physician Assistant
- Utica, NY
- NPI 1033438320
-
Gina Trombley
- Family Nurse Practitioner
- Jackson, TN
- NPI 1518728724
Sources for this page
- 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.