Kamran Mahalati, MD | |
700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 | |
(731) 422-0310 | |
(731) 422-0440 |
Full Name | Kamran Mahalati |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 700 W Forest Ave, Jackson, 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 |
---|---|---|---|
1518934603 | NPI | - | NPPES |
3329993 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD39629 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jackson-madison County General Hospital | Jackson, TN | Hospital |
Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jackson Clinic Pa | 2668376872 | 179 |
Entity Name | Jackson Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
Entity Name | West Tennessee Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009 |
Mailing Address | Practice Location Address |
---|---|
Kamran Mahalati, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Kamran Mahalati, MD 700 W Forest Ave, Ste 300, Jackson, TN 38301-3937 Ph: (731) 422-0310 |
Shaniece A Craft, Surgery Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 Fax: 731-664-0057 | |
James Daniel Day, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Bryant Unruh, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 569 Skyline Dr, Jackson, TN 38301 Phone: 731-664-7395 Fax: 731-664-0057 | |
Dean P Currie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Dr. Garrison Berry Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
David M Laird, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 395 Hospital Blvd, Jackson, TN 38305 Phone: 731-664-7395 Fax: 731-664-0057 | |
Bryan James Borgfeld, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0475 |