Elisabeth A. Clarke-Schoenoff, D.C.
Individual provider Active NPI Chiropractor · Morristown, TN
NPI 1609869593 · NPPES record last updated Feb 15, 2013
Key facts
- NPI
- 1609869593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC0000000792 (TN)
- Practice address
- 2307 W Andrew Johnson Hwy
Suite 113
Morristown, TN 37814-3298 - Phone
- (423) 581-6955
- Fax
- (423) 581-2200
- NPI assigned
- Aug 25, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2307 W Andrew Johnson Hwy
Morristown, TN 37814-3272
Phone (423) 581-6955
2629 W Andrew Johnson Hwy
Suite 120
Morristown, TN 37814-3387
Phone (423) 581-6955
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031125000642 | TN | Practitioner - Chiropractic | 6103720644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000000792 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Center, P.C. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000000792 | TN | Yes |
Addresses
Primary practice location
2307 W Andrew Johnson Hwy
Suite 113
Morristown, TN 37814-3298
Mailing address
2307 W Andrew Johnson Hwy
Suite 113
Morristown, TN 37814-3298
Phone (423) 581-6955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36760711 | Other | TN | MEDICARE PTAN |
| 4154405 | Other | TN | BCBS |
Other names
- Dr. Elisabeth A. Clarke
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.