Bruce L Fetterman, MD | |
7600 Wolf River Blvd, Suite 220, Germantown, TN 38138-1785 | |
(901) 755-5300 | |
(901) 756-0196 |
Full Name | Bruce L Fetterman |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 34 Years |
Location | 7600 Wolf River Blvd, Germantown, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699881052 | NPI | - | NPPES |
4108473 | Other | TN | BC |
3818743 | Medicaid | TN | |
97772 | Other | AR | BC |
P00238841 | Other | TN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0901X | Otolaryngology - Otology & Neurotology | MD29959 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-south Ear Nose And Throat Pc | 3779568092 | 24 |
Entity Name | Mid-south Ear Nose And Throat Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689780066 PECOS PAC ID: 3779568092 Enrollment ID: O20040621001970 |
Mailing Address | Practice Location Address |
---|---|
Bruce L Fetterman, MD Po Box 2757, Cordova, TN 38088-2757 Ph: (901) 755-5300 | Bruce L Fetterman, MD 7600 Wolf River Blvd, Suite 220, Germantown, TN 38138-1785 Ph: (901) 755-5300 |
Mark A Milburn, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Suite 220, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362 | |
Scott Burge, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd Ste 220, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-753-9659 | |
Marion Boyd Gillespie, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-609-3570 Fax: 901-266-6443 | |
Dr. Neal S Beckford, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7675 Wolf River Cir Ste 202, Germantown, TN 38138 Phone: 901-737-3021 Fax: 901-737-6063 | |
Dean A Klug, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Suite 220, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362 | |
John S. Touliatos, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Suite 120, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362 | |
Dr. Carey Burton Wood, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 7675 Wolf River Cir Ste 202, Germantown, TN 38138 Phone: 901-737-3021 Fax: 901-737-6063 |