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Basic rules

Bringing direct primary care and pain management to an area of NC/TN/VA that has significant need.

 

Here is what we know so far:

  • We will not be filing insurance, this will be a cash/card only business.

  • Establishing care does not guarantee we will manage a particular patient's pain.

  •  There will be a membership fee that will be charged monthly. - NO LONGER

  • In addition, there will also be set office visit fees so there is clear up front pricing.  (see below)

  • If we cannot manage your pain at our office, you will know within three visits (so long as records are provided as requested}.

  • In the event that you are deemed not appropriate for chronic traditional opioids, you may be offered MAT in for form of Suboxone or Subutex.

  • When we first open, it will be only on one or two Saturdays per month.  Because of this limited scheduled, we will recruit no more than 80 patients at first.

  • You MUST live in one of the counties above and the address must be on your state approved ID.

  • We are open now, but phone is carried by Dr Mike at all times, so often you will need to wait, or text to get a response.

  • EXPECT everything you don't like about about a pain clinic, Random pill counts, Urine toxicology and the need to bring your controlled meds to every appointment.  In order to protect our ability to help you, this will be a tightly run "ship".

  • No medications refills will be sent in if your balance is more than 30 days old.  Payment is due at time services rendered.

Current Status

We have a permanent location:  901 MT Jefferson Rd, West Jefferson, NC 28694

 

To do that 6 main things must be in place:

  • 1) a physical location to see you, done!

  • 2) an EHR - set up with online patient portal! - Done

  • 3) Malpractice insurance and collaboration agreement. I already have a physician who will help me with this (my current business partner). -Done

  • 4) New patients packs - accomplished by filling out new patient questionnaire when you sign in for first visit. - Done

  • 5) Urine drug screens will be collected at your patient visits (the face to face ones obviously). -done

  • 6) Establish a low cost administrative visit to establish care.  For $75.00 we will set up your chart and explain how we might begin to meet your care needs, both primary and pain management/SUD

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Fee Schedule

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Here are the fees as they currently are being billed.  

  • 1) No More memberships - there was no effort on part of EHR to enforce, too much time spent activating and reactivating.

  • 2) Visit rate: $145 per month (currently enrolled patients will be on reduced fee for rest of year)

  • 3) Update visits - for when we rarely need to meet between visits (i.e. you have a minor illness and need a prescription) - $60

  • 4) Joint injections $100 for first joint, including the meds, additional joints on same day $70. (once we have supplies). Trigger point injections are $120 due to extra med cost (up to two locations). 

  • 5) Urine drug screens - the vendor charges $99 cash or whatever your insurance passes to you.  The urine drug screen DOES detect Kratom.

  • 6) Shaving benign lesions on feet (think plantar warts) $100.  

 

​In the future we will have discounted lab on site, but this is a slow process.

Our Healthcare Experts

Compassionate Care

Experienced Staff

Dedicated Team

Patient Focused

Trusted Professionals

Working Together

At the helm of our clinic is a doctorate-prepared nurse practitioner with over 13 years of experience in primary care and pain management. Our team is committed to providing personalized and comprehensive healthcare to every patient.

Our Services

Direct Care

We provide direct primary care services, ensuring that patients receive attentive and tailored healthcare without filing insurance claims. Our approach promotes transparency, accessibility, and a focus on individual health needs.

Pain Management

Our pain management services focus on holistic approaches to relieve chronic pain, utilizing a combination of therapies designed to enhance patients' quality of life and overall well-being.

Substance Use Support

We offer specialized programs aimed at treating substance use disorders. Our compassionate care encourages recovery and empowers individuals to regain control of their lives with the necessary support and resources.

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