Annette Carlisle, MD | |
51 N Dunlap St, Memphis, TN 38105-4625 | |
(901) 287-7337 | |
Not Available |
Full Name | Annette Carlisle |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Allergy/immunology |
Location | 51 N Dunlap St, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376962902 | NPI | - | NPPES |
08808809 | Medicaid | MS | |
220713001 | Medicaid | AR | |
Q043210 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-10471 (Arkansas) | Secondary |
2080P0201X | Pediatrics - Pediatric Allergy/immunology | 61070 (Tennessee) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Mailing Address | Practice Location Address |
---|---|
Annette Carlisle, MD 850 Poplar Ave Bldg 2, Memphis, TN 38105-4607 Ph: () - | Annette Carlisle, MD 51 N Dunlap St, Memphis, TN 38105-4625 Ph: (901) 287-7337 |
Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469 | |
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 Phone: 901-448-5950 Fax: 901-448-1691 | |
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005 | |
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 Monroe Ave, Memphis, TN 38103 Phone: 832-774-3282 | |
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994 | |
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646 |