Michael D Koplon, MD | |
1265 Union Ave, Memphis, TN 38104-3415 | |
(901) 516-2362 | |
(901) 516-8254 |
Full Name | Michael D Koplon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1265 Union Ave, 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 |
---|---|---|---|
1376546150 | NPI | - | NPPES |
3149825 | Other | TN | BLUE CROSS BLUE SHIELD |
1985645 | Other | UNITED HEALTHCARE | |
7683058 | Other | AETNA | |
8840602005 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 34018 (Tennessee) | Secondary |
207R00000X | Internal Medicine | MD34018 (Tennessee) | Primary |
Entity Name | Methodist Inpatient Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609850692 PECOS PAC ID: 1254241235 Enrollment ID: O20050815000700 |
Mailing Address | Practice Location Address |
---|---|
Michael D Koplon, MD P O Box 1000 Dept 351, Memphis, TN 38148-0001 Ph: (901) 758-9900 | Michael D Koplon, MD 1265 Union Ave, Memphis, TN 38104-3415 Ph: (901) 516-2362 |
Khawaja Muhammad Muddassir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave, Suite 370, Memphis, TN 38104 Phone: 901-758-7888 Fax: 901-387-5153 | |
Allison Montague, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1955 S 3rd St, Memphis, TN 38109 Phone: 901-515-5800 | |
Dr. Marcia Bradford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 E Eh Crump Blvd, Memphis, TN 38126 Phone: 901-261-2000 Fax: 901-946-9262 | |
Dr. Aleksandar Jankov, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd, Suite 301, Memphis, TN 38120 Phone: 901-747-9081 Fax: 901-747-9087 | |
Manoj K Jain, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd Ste 209, Memphis, TN 38120 Phone: 901-681-0778 Fax: 901-821-9987 | |
Dr. Karl Weber, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-4739 | |
Dr. Pedro Velasquez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 300, Memphis, TN 38119 Phone: 901-683-0024 Fax: 901-683-0086 |