OrganizationHermitage Medical Associates Pllc(<Unavail>)Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address740 Cool Springs Blvd., Suite 120, Franklin, TN 37067-6449(615) 550-6200PECOS EnrollmentBased on the most recent information from CMS, provider Hermitage Medical Associates Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1669640728Provider TypeOrganizationFull NameHermitage Medical Associates PllcOther Name<Unavail>SubpartNoEnumeration Date2/12/2008Last Updated2/12/2008Contact InformationPractice LocationPractice Address740 Cool Springs Blvd., Suite 120, Franklin, TN 37067-6449Phone(615) 550-6200Fax(615) 550-6099Mailing LocationMailing Address740 Cool Springs Blvd., Suite 120, Franklin, TN 37067-6449Phone(615) 550-6200Fax(615) 550-6099Authorized OfficialNameOzenne, Joseph B (Physician/Ceo)Phone(615) 550-6200Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense31405TennesseeProvider IdentifiersIDDescriptionIssuerID3855953DescriptionMedicaidIssuerUnlistedTennessee