Shaun Michael Stickley, MD | |
1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 | |
(901) 272-6010 | |
(901) 266-6468 |
Full Name | Shaun Michael Stickley |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 19 Years |
Location | 1325 Eastmoreland Ave Ste 310, 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 |
---|---|---|---|
1528289808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 48394 (Tennessee) | Primary |
2086S0129X | Surgery - Vascular Surgery | 096419 (Ohio) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
Baptist Memorial Hospital Tipton | Covington, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
Entity Name | Ut Methodist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427317908 PECOS PAC ID: 2769623669 Enrollment ID: O20130718000263 |
Mailing Address | Practice Location Address |
---|---|
Shaun Michael Stickley, MD P O Box 1000 Dept 457, Memphis, TN 38148-0001 Ph: (901) 275-3662 | Shaun Michael Stickley, MD 1325 Eastmoreland Ave Ste 310, Memphis, TN 38104-7544 Ph: (901) 272-6010 |
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. 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 | |
Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 |