Marissa Anne Mencio, MD | |
3901 Central Pike Ste 351, Hermitage, TN 37076 | |
(615) 889-8802 | |
Not Available |
Full Name | Marissa Anne Mencio |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 10 Years |
Location | 3901 Central Pike Ste 351, Hermitage, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609295534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 61783 (Tennessee) | Primary |
208600000X | Surgery | 298487-1 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Tristar Summit Medical Center | Hermitage, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Diagnostic Imaging Pc | 7315848140 | 547 |
Entity Name | Saint Thomas Medical Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
Entity Name | Advanced Diagnostic Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
Mailing Address | Practice Location Address |
---|---|
Marissa Anne Mencio, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Marissa Anne Mencio, MD 3901 Central Pike Ste 351, Hermitage, TN 37076 Ph: (615) 889-8802 |
Dr. Amanda Jean Morehouse Nguyen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5653 Frist Blvd Ste 239, Hermitage, TN 37076 Phone: 615-232-9070 | |
Dr. Tif Siragusa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5651 Frist Blvd, Suite 414, Hermitage, TN 37076 Phone: 615-884-7600 Fax: 615-884-7799 | |
Michael C Thomas, MD Surgery Medicare: Medicare Enrolled Practice Location: 3901 Central Pike, Suite 555, Hermitage, TN 37076 Phone: 615-874-9667 Fax: 615-871-9682 |