Mrs Reginique L Green, MD | |
5366 Mendenhall Mall, Memphis, TN 38115-4505 | |
(901) 701-2500 | |
Not Available |
Full Name | Mrs Reginique L Green |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 5366 Mendenhall Mall, 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 |
---|---|---|---|
1952401044 | NPI | - | NPPES |
2104967 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35-74642 (Ohio) | Secondary |
207Q00000X | Family Medicine | 48371 (Tennessee) | Primary |
Entity Name | Christ Community Health Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468 |
Mailing Address | Practice Location Address |
---|---|
Mrs Reginique L Green, MD 2595 Central Ave, Memphis, TN 38104-5905 Ph: (901) 260-8500 | Mrs Reginique L Green, MD 5366 Mendenhall Mall, Memphis, TN 38115-4505 Ph: (901) 701-2500 |
Arvind Reddy Ankireddypalli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104 Phone: 901-516-9830 Fax: 901-516-9837 | |
Dr. Christina Brown Tran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Primacy Pkwy, Memphis, TN 38119 Phone: 901-866-8812 | |
Marthinus Theunis Zeeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 Abergeldie Dr, Memphis, TN 38119 Phone: 901-481-4613 | |
Dr. Sudha R Prasad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3836 Park Ave, Memphis, TN 38111 Phone: 901-324-3984 Fax: 901-454-1655 | |
Joseph Patrick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2569 Douglass Ave, Memphis, TN 38114 Phone: 901-271-6200 Fax: 901-271-6249 | |
Dr. Olawale Adetayo Morafa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2693 Union Avenue Ext, Suite 100, Memphis, TN 38112 Phone: 901-722-0088 Fax: 901-722-0082 | |
Dr. Contrina Annette Huffman, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 Eastmoreland Ave Ste 150, Memphis, TN 38104 Phone: 901-516-9830 Fax: 901-516-9837 |