Mrs Anju Mendiratta, MD | |
117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424 | |
(931) 646-0880 | |
(866) 834-5618 |
Full Name | Mrs Anju Mendiratta |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 28 Years |
Location | 117 N Hickory Ave Ste 200, Cookeville, 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 |
---|---|---|---|
1578533105 | NPI | - | NPPES |
1512941 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | MD40111 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dialysis Care Center Crossville Llc | Crossville, TN | Dialysis facility |
Cookeville Dialysis | Cookeville, TN | Dialysis facility |
Livingston Tn Dialysis | Livingston, TN | Dialysis facility |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Cumberland Medical Center | Crossville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland Kidney Specialist | 9931257771 | 2 |
Entity Name | Cumberland Kidney Specialist |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922248756 PECOS PAC ID: 9931257771 Enrollment ID: O20090504000659 |
Entity Name | Healthstar Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801675426 PECOS PAC ID: 6800246810 Enrollment ID: O20240103000065 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anju Mendiratta, MD 117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424 Ph: (931) 646-0880 | Mrs Anju Mendiratta, MD 117 N Hickory Ave Ste 200, Cookeville, TN 38501-2424 Ph: (931) 646-0880 |
Scott F Reising, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463 | |
Stacy David Brewington, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W. 4th Street, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463 | |
Mark Arden Pierce, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 145 W 4th St, Suite 201, Cookeville, TN 38501 Phone: 931-783-2902 Fax: 931-783-2219 | |
Michael Blaine Lenhart, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 West 4th St, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463 | |
Dr. Toney Britton Hudson, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 315 N Washington Ave, Ste 165, Cookeville, TN 38501 Phone: 931-526-1604 Fax: 931-526-7378 | |
James Chike Ezi-ashi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 438 N Whitney Ave, Cookeville, TN 38501 Phone: 931-783-2616 Fax: 931-783-2610 | |
Dr. Brian Keith Dockery, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 228 W 4th St, Suite 200, Cookeville, TN 38501 Phone: 931-372-0405 Fax: 931-372-0463 |