Dr Matthew J Krasin, MD | |
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
(901) 595-3006 | |
(901) 595-3842 |
Full Name | Dr Matthew J Krasin |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 262 Danny Thomas Pl, 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 |
---|---|---|---|
1972506046 | NPI | - | NPPES |
140246001 | Medicaid | AR | |
205028202 | Medicaid | MO | |
648674090A | Medicaid | GA | |
3854868 | Medicaid | TN | |
64014202 | Medicaid | KY | |
00122666 | Medicaid | MS | |
454775794-1 | Medicaid | IL | |
0030899 | Medicaid | NJ | |
1430188 | Medicaid | LA | |
629975 | Medicaid | AZ | |
100507255 | Medicaid | NV | |
422400000 | Medicaid | ME | |
200284430A | Medicaid | IN | |
7611874 | Medicaid | NC | |
0535161 | Medicaid | IA | |
100641230A | Medicaid | KS | |
009931440 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 34077 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
---|---|
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 Matthew J Krasin, MD 262 Danny Thomas Pl, Ms 515, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Dr Matthew J Krasin, MD 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3006 |
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 |