Ashley Brooke Oldham Porter, MD | |
620 Skyline Dr, Jackson, TN 38301-3923 | |
(731) 541-6026 | |
(731) 541-7958 |
Full Name | Ashley Brooke Oldham Porter |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 12 Years |
Location | 620 Skyline Dr, Jackson, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003177213 | NPI | - | NPPES |
Q030589 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 53838 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Pathology Group A Professional Corporation | 9537237169 | 6 |
Entity Name | Pathology Group Of The Midsouth, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538199732 PECOS PAC ID: 2264346931 Enrollment ID: O20031117000691 |
Entity Name | Champion Physical Therapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053509299 PECOS PAC ID: 6800985417 Enrollment ID: O20071205000193 |
Entity Name | Jackson Pathology Group A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679736516 PECOS PAC ID: 9537237169 Enrollment ID: O20081008000663 |
Mailing Address | Practice Location Address |
---|---|
Ashley Brooke Oldham Porter, MD 7550 Wolf River Blvd Ste 200, Germantown, TN 38138-1778 Ph: (901) 542-6801 | Ashley Brooke Oldham Porter, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-6026 |
Richard A Oberg, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Joseph Curtis Coleman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Charles Stephen Foster, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Mark Preston Burton, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Diane Elaine Green, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 | |
Felix Earl Williamson Iii, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 708 W Forest Ave, Jackson, TN 38301 Phone: 731-660-8759 |