Dr Enrique Guillermo, MD | |
6019 Walnut Street, Memphis, TN 38120 | |
(901) 226-3010 | |
(901) 226-1707 |
Full Name | Dr Enrique Guillermo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 36 Years |
Location | 6019 Walnut Street, Memphis, 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 |
---|---|---|---|
1609815919 | NPI | - | NPPES |
3158388 | Other | TN | BLUE CROSS |
3832055 | Medicaid | TN | |
00122634 | Medicaid | MS | |
P00232048 | Other | TN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 27942 (Tennessee) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | E0557 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
Entity Name | Helena Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679705370 PECOS PAC ID: 9830245612 Enrollment ID: O20090919000027 |
Entity Name | App Of Arkansas Ed Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336698828 PECOS PAC ID: 1153601463 Enrollment ID: O20161202000951 |
Mailing Address | Practice Location Address |
---|---|
Dr Enrique Guillermo, MD Po Box 634706, Cincinnati, OH 45263-4706 Ph: () - | Dr Enrique Guillermo, MD 6019 Walnut Street, Memphis, TN 38120 Ph: (901) 226-3010 |
Dr. Lori Rae Holtzman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2565 Horizon Lake Dr Ste 114, Memphis, TN 38133 Phone: 901-350-2639 Fax: 901-249-4563 | |
Dr. Michael Jerome Washington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400 | |
Dr. Anthony C Moretta, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 505 Tennessee St Apt 304, Memphis, TN 38103 Phone: 901-626-9560 | |
Dr. Claude F Varner Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400 | |
Dr. Clyde M Brown, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3960 New Covington Pike, Memphis, TN 38128 Phone: 901-516-5211 | |
Jason Taylor Silberman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-226-3010 Fax: 901-226-1216 | |
Lesa Jordan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 710 N Main St, Memphis, TN 38107 Phone: 901-626-2266 |