| Jennifer Michelle Davidson, DO | |
|
853 Jefferson Ave Ste 201, Memphis, TN 38103 | |
| (901) 448-5950 | |
| Not Available |
| Full Name | Jennifer Michelle Davidson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 853 Jefferson Ave Ste 201, 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 |
|---|---|---|---|
| 1659638310 | NPI | - | NPPES |
| 05188531 | Medicaid | MS | |
| 7100589420 | Medicaid | KY | |
| 210036003 | Medicaid | AR | |
| Q008515 | Medicaid | TN | |
| 1659638310 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 2713 (Tennessee) | Primary |
| Entity Name | Ut Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384 |
| Entity Name | Pediatric Emergency Specialists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760482434 PECOS PAC ID: 7810800679 Enrollment ID: O20031107000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Michelle Davidson, DO 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 866-8622 | Jennifer Michelle Davidson, DO 853 Jefferson Ave Ste 201, Memphis, TN 38103 Ph: (901) 448-5950 |
Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469 | |
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Tennessee (division Of Neonatology), 853 Jefferson Avenue, Suite-201, Newborn Center, Memphis, TN 38103 Phone: 901-448-5950 Fax: 901-448-1691 | |
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005 | |
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 Monroe Ave, Memphis, TN 38103 Phone: 832-774-3282 | |
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994 | |
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646 |