MEDICARE: AACET, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center		TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053332148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AACET, INC.

Provider Business Mailing Address
First Line	:	PO BOX 6167
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37802-6167
Country	:	US
Telephone Number	:	865-977-8007
Fax Number	:	865-977-4072

Provider Business Practice Location Address
First Line	:	829 E LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5001
Country	:	US
Telephone Number	:	865-977-8282
Fax Number	:	865-982-0143

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MS. CARRIE S SPICER
Credential	:
Telephone Number	:	865-977-8007

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	08/22/2020

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Directions to “AACET, INC. ” Practice Location

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