Dr Penny Josephine Walsh, MD | |
6019 Walnut Grove Rd, Memphis, TN 38120-2113 | |
(901) 226-5000 | |
Not Available |
Full Name | Dr Penny Josephine Walsh |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 6019 Walnut Grove Rd, 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 |
---|---|---|---|
1740220805 | NPI | - | NPPES |
3870030 | Medicaid | TN | |
4024762 | Other | TN | BLUE CROSS |
00118480 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15477 (Mississippi) | Primary |
207P00000X | Emergency Medicine | 35766 (Tennessee) | Secondary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
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Dr Penny Josephine Walsh, MD Po Box 634706, Cincinnati, OH 45263-0001 Ph: () - | Dr Penny Josephine Walsh, MD 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-5000 |
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 |