Mr Ellis Tavin, MD | |
80 Humphreys Center Dr, #100, Memphis, TN 38120 | |
(901) 761-9030 | |
(901) 473-6505 |
Full Name | Mr Ellis Tavin |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 37 Years |
Location | 80 Humphreys Center Dr, Memphis, 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 |
---|---|---|---|
1326003179 | NPI | - | NPPES |
89100200 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 9601744 (North Carolina) | Secondary |
208200000X | Plastic Surgery | 41308 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Plastic Surgery Group Of Memphis P.c. | 6608854013 | 7 |
Entity Name | The Plastic Surgery Group Of Memphis P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831102078 PECOS PAC ID: 6608854013 Enrollment ID: O20040712001171 |
Mailing Address | Practice Location Address |
---|---|
Mr Ellis Tavin, MD 8110 N Brother Blvd, Ste 200, Bartlett, TN 38133-2760 Ph: (901) 255-5221 | Mr Ellis Tavin, MD 80 Humphreys Center Dr, #100, Memphis, TN 38120 Ph: (901) 761-9030 |
Patricia L. Eby, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 360, Memphis, TN 38119 Phone: 901-752-1412 | |
George Lewis Burruss, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 80 Humphreys Ctr Ste 100, Memphis, TN 38120 Phone: 901-761-9030 Fax: 901-473-6505 | |
Dr. Sylvia Shepherd Strock, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4634 Peppertree Lane, Memphis, TN 38117 Phone: 901-682-9110 | |
Robert Louis Adams, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 80 Humphreys Ctr Ste 100, Memphis, TN 38120 Phone: 901-761-9030 Fax: 901-473-6505 | |
Dr. Asghar Koleyni, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6005 Park Avenue, Suite 1007b, Memphis, TN 38119 Phone: 901-761-2400 | |
Robert Gregory Chandler, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 80 Humphreys Ctr Ste 100, Memphis, TN 38120 Phone: 901-761-9030 Fax: 901-473-6505 |