Dr Louis J Magnotti, MD | |
877 Jefferson Avenue, Attn: Provider Enrollment, Memphis, TN 38103 | |
(901) 545-6286 | |
(901) 545-8122 |
Full Name | Dr Louis J Magnotti |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 877 Jefferson Avenue, 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 |
---|---|---|---|
1326004128 | NPI | - | NPPES |
3325997 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 35504 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner - University Medical Center Tucson Campus | Tucson, AZ | Hospital |
Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Banner -- University Medical Group | 7719899871 | 817 |
Entity Name | Banner -- University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Dr Louis J Magnotti, MD 66 N Pauline St, Suite 206, Memphis, TN 38105-5105 Ph: (901) 448-7642 | Dr Louis J Magnotti, MD 877 Jefferson Avenue, Attn: Provider Enrollment, Memphis, TN 38103 Ph: (901) 545-6286 |
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. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786 | |
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 |