Dr Andrew Ryan Alsentzer, MD | |
2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122-3934 | |
(629) 255-2022 | |
(629) 255-4213 |
Full Name | Dr Andrew Ryan Alsentzer |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2025 N Mount Juliet Rd Ste 200, Mt Juliet, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477991644 | NPI | - | NPPES |
Q022611 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 54439 (Tennessee) | Primary |
Entity Name | Heritage Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548284060 PECOS PAC ID: 4688651037 Enrollment ID: O20040702000463 |
Mailing Address | Practice Location Address |
---|---|
Dr Andrew Ryan Alsentzer, MD 222 22nd Ave N, Nashville, TN 37203-1852 Ph: (629) 255-3486 | Dr Andrew Ryan Alsentzer, MD 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122-3934 Ph: (629) 255-2022 |
Deepak Mehrotra, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2032 Fax: 629-255-4223 | |
Wendy Lynne Hitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2026 Fax: 629-255-4217 | |
Neil Edward Kirshner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2028 Fax: 629-255-4219 | |
Allyson E Somers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2035 Fax: 629-255-4226 |