Dr Roberto D Lachica, MD | |
6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 | |
(901) 226-3090 | |
(901) 226-3096 |
Full Name | Dr Roberto D Lachica |
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Gender | Male |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 6029 Walnut Grove Rd Ste 210, 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 |
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1366409104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 27095 (Mississippi) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 30551 (Tennessee) | Primary |
Entity Name | Wound Management Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20211105001456 |
Mailing Address | Practice Location Address |
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Dr Roberto D Lachica, MD 601 West Dr, Memphis, TN 38112-1728 Ph: (901) 210-1302 | Dr Roberto D Lachica, MD 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 Ph: (901) 226-3090 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 |