Dr Jorge A Salazar, MD | |
1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | |
(901) 866-8813 | |
(901) 302-2120 |
Full Name | Dr Jorge A Salazar |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 1910 Nonconnah Blvd, 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 |
---|---|---|---|
1336106681 | NPI | - | NPPES |
3863348 | Medicaid | TN | |
1513303 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 34499 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poplar Avenue Clinic, Pllc | 0042552457 | 12 |
Poplar Avenue Clinic, Pllc | 0042552457 | 12 |
Entity Name | Poplar Avenue Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124588793 PECOS PAC ID: 0042552457 Enrollment ID: O20190515003081 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge A Salazar, MD 1407 Union Ave, Ste 640, Memphis, TN 38104-3666 Ph: (901) 866-8375 | Dr Jorge A Salazar, MD 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 Ph: (901) 866-8813 |
Dr. Daniel Wakefield, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 920 Madison Ave, Suite 447, Memphis, TN 38103 Phone: 901-448-5814 | |
Madison H Buckley Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 50 Humphreys Ctr, Suite 23, Memphis, TN 38120 Phone: 901-226-0810 Fax: 901-383-8985 | |
Paul R Tanner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove, Memphis, TN 38120 Phone: 901-383-8860 Fax: 901-383-1194 | |
Martha E Glenn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120 Phone: 901-227-9650 | |
Matthew T. Ballo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-683-0055 Fax: 901-685-2969 | |
Terry L Thompson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-3212 | |
Stefan J Cowles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-1727 |