Dr Edward A Luce, MD | |
1068 Cresthaven Rd Ste 500, Memphis, TN 38119 | |
(901) 866-8525 | |
Not Available |
Full Name | Dr Edward A Luce |
---|---|
Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 1068 Cresthaven Rd Ste 500, 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 |
---|---|---|---|
1487611000 | NPI | - | NPPES |
155023001 | Medicaid | AR | |
177416 | Medicaid | AL | |
003179304A | Medicaid | GA | |
08908201 | Medicaid | MS | |
1487611000 | Medicaid | MO | |
3339655 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 38936 (Tennessee) | Primary |
Entity Name | The Plastic Surgery Group Of Memphis P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831102078 PECOS PAC ID: 6608854013 Enrollment ID: O20040712001171 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward A Luce, MD 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 866-8622 | Dr Edward A Luce, MD 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Ph: (901) 866-8525 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 |