Dr Manoj Mrinal Mazumder, MD | |
877 Jefferson Ave, Memphis, TN 38103-2807 | |
(901) 545-7100 | |
Not Available |
Full Name | Dr Manoj Mrinal Mazumder |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 37 Years |
Location | 877 Jefferson Ave, 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 |
---|---|---|---|
1588813257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 47627 (Tennessee) | Primary |
207P00000X | Emergency Medicine | E6321 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest City Medical Center | Forrest city, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forrest City Emergency Physicians Pllc | 0648319624 | 11 |
Tate County Hospital | 6103282165 | 21 |
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 | Forrest City Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497080501 PECOS PAC ID: 0648319624 Enrollment ID: O20091204000091 |
Mailing Address | Practice Location Address |
---|---|
Dr Manoj Mrinal Mazumder, MD 4380 Hardgreaves Ln, Apt # 308, Memphis, TN 38125-2496 Ph: (501) 749-1520 | Dr Manoj Mrinal Mazumder, MD 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 545-7100 |
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 |