Dr Trent Wright Marcus, MD | |
5722 Integrity Dr, Building S771, Millington, TN 38054-5028 | |
(901) 874-6119 | |
Not Available |
Full Name | Dr Trent Wright Marcus |
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Gender | Male |
Speciality | Family Medicine |
Location | 5722 Integrity Dr, Millington, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831147461 | NPI | - | NPPES |
R-4476 | Other | AR | ARKANSAS LICENSE |
CC7692 | Other | NV | BLUE CROSS PROVIDER ID |
100506021 | Medicaid | NV | |
11359 | Other | NV | NEVADA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11359 (Nevada) | Secondary |
207P00000X | Emergency Medicine | R-4476 (Arkansas) | Secondary |
207Q00000X | Family Medicine | R4476 (Arkansas) | Primary |
Entity Name | Integrated Wound Care Arkansas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760110282 PECOS PAC ID: 4587040597 Enrollment ID: O20220928002931 |
Mailing Address | Practice Location Address |
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Dr Trent Wright Marcus, MD 612 Leah Ln, Manila, AR 72442-9128 Ph: (870) 561-1277 | Dr Trent Wright Marcus, MD 5722 Integrity Dr, Building S771, Millington, TN 38054-5028 Ph: (901) 874-6119 |
Jerry Ray Floyd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8507 Us Highway 51 N, Suite 107, Millington, TN 38053 Phone: 901-873-2555 Fax: 901-873-2561 | |
Dr. Jose Calixto De La Pena, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 Phone: 901-874-6143 | |
Dr. Danielle Michelle Lagoski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5722 Integrity Dr, Millington, TN 38054 Phone: 901-874-9464 | |
Mr. Toby Eric Anderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 9705 Oglesby Rd, Millington, TN 38053 Phone: 901-338-2188 Fax: 901-872-4188 | |
Dr. Catherine Jean Flowitt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5101 Thompson St, Millington, TN 38053 Phone: 901-315-0637 | |
Mrs. Sheketa Lane, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8188 Us Highway 51 N, Millington, TN 38053 Phone: 901-614-4455 |