Dr Elisabeth E Adderson, MD | |
262 Danny Thomas Place., Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105 | |
(901) 595-3006 | |
(901) 595-3842 |
Full Name | Dr Elisabeth E Adderson |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 262 Danny Thomas Place., Ms 0515, 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 |
---|---|---|---|
1023011236 | NPI | - | NPPES |
100179830A | Medicaid | OK | |
200379130A | Medicaid | KS | |
00121227 | Medicaid | MS | |
138461001 | Medicaid | AR | |
1561843 | Medicaid | LA | |
422400000 | Medicaid | ME | |
205026305 | Medicaid | MO | |
3897997 | Medicaid | TN | |
64008287 | Medicaid | KY | |
104788392 | Medicaid | MI | |
0527788 | Medicaid | IA | |
1146360 00 | Medicaid | WY | |
200253180A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 31812 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Dr Elisabeth E Adderson, MD 262 Danny Thomas Place., Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Dr Elisabeth E Adderson, MD 262 Danny Thomas Place., Ms 0515, St. Jude Children's Research Hospital, Memphis, TN 38105 Ph: (901) 595-3006 |
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 |