| Jennifer Nicole Bentley, MD | |
|
3876 New Covington Pike, Memphis, TN 38128 | |
| (901) 377-2711 | |
| (901) 382-9051 |
| Full Name | Jennifer Nicole Bentley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3876 New Covington Pike, 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 |
|---|---|---|---|
| 1184030496 | NPI | - | NPPES |
| 2367480 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E-10589 (Arkansas) | Secondary |
| 208000000X | Pediatrics | 55517 (Tennessee) | Primary |
| Entity Name | Baptist Medcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Nicole Bentley, MD P O Box 1000 Dept 978, Memphis, TN 38148-0001 Ph: (901) 758-9900 | Jennifer Nicole Bentley, MD 3876 New Covington Pike, Memphis, TN 38128 Ph: (901) 377-2711 |
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 |