Dr Zandra Renee Petway, MD | |
5115 Maryland Way, Ste 65, Brentwood, TN 37027 | |
(615) 943-5503 | |
(615) 884-0219 |
Full Name | Dr Zandra Renee Petway |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 5115 Maryland Way, Brentwood, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265447619 | NPI | - | NPPES |
3802977 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 27699 (Tennessee) | Primary |
Entity Name | Afc Physicians Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20151006000818 |
Entity Name | South Central Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427611854 PECOS PAC ID: 6507195492 Enrollment ID: O20190830001905 |
Entity Name | Emergency Medicine Services Of Tn, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
Mailing Address | Practice Location Address |
---|---|
Dr Zandra Renee Petway, MD Po Box 2018, Brentwood, TN 37024-2018 Ph: (615) 933-5244 | Dr Zandra Renee Petway, MD 5115 Maryland Way, Ste 65, Brentwood, TN 37027 Ph: (615) 943-5503 |
Dr. Toula Romas Berti, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1001 Health Park Dr Ste 470, Brentwood, TN 37027 Phone: 615-212-2517 Fax: 615-212-2711 |