Dr Matthew Jon Laurencelle, MD | |
6019 Walnut Grove Rd, Memphis, TN 38120-2113 | |
(901) 226-3610 | |
Not Available |
Full Name | Dr Matthew Jon Laurencelle |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 12 Years |
Location | 6019 Walnut Grove Rd, 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 |
---|---|---|---|
1619239548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301101016 (Michigan) | Secondary |
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 4301101016 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Brighton Center For Recovery | Brighton, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Brighton Center For Recovery | 2668466996 | 12 |
Entity Name | Ascension Brighton Center For Recovery |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265527337 PECOS PAC ID: 2668466996 Enrollment ID: O20040412000189 |
Entity Name | St Mary Mercy Hospital Professional |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528145554 PECOS PAC ID: 2365521226 Enrollment ID: O20080502000426 |
Mailing Address | Practice Location Address |
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Dr Matthew Jon Laurencelle, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: () - | Dr Matthew Jon Laurencelle, MD 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-3610 |
Dr. James H Jaster, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 23 South Pauline Street,, Suite 709, Memphis, TN 38104 Phone: 901-577-9467 Fax: 901-362-6618 | |
Dr. Joel Allen Reisman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave Ste 204, Memphis, TN 38117 Phone: 901-761-2622 Fax: 901-761-2355 | |
Dr. John Pharis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2150 Whitney Ave, Memphis, TN 38127 Phone: 901-353-5440 Fax: 901-353-5464 | |
Fred Godwin Thomason, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5515 Shelby Oaks Dr, Memphis, TN 38134 Phone: 901-252-7718 Fax: 901-252-7680 | |
Lalitha Vaddadi, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3810 Winchester Rd, Memphis, TN 38118 Phone: 901-369-1420 Fax: 901-369-1433 | |
Nita S Desai, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-268-8620 Fax: 901-877-7991 | |
Caitlin Moran Brockenshire, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6325 Humphreys Blvd, Memphis, TN 38120 Phone: 901-522-7700 Fax: 901-522-2600 |