Noam A Vanderwalde, MD | |
7945 Wolf River Blvd, Germantown, TN 38138-1733 | |
(901) 683-0055 | |
(901) 685-2969 |
Full Name | Noam A Vanderwalde |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 15 Years |
Location | 7945 Wolf River Blvd, Germantown, 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 |
---|---|---|---|
1285869362 | NPI | - | NPPES |
08408361 | Medicaid | MS | |
Q009036 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 51603 (Tennessee) | Primary |
2085R0001X | Radiology - Radiation Oncology | 23666 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Magnolia Regional Health Center | Corinth, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The West Clinic, Pllc | 2668360579 | 107 |
The West Clinic, Pllc | 2668360579 | 107 |
Entity Name | The West Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040315000610 |
Mailing Address | Practice Location Address |
---|---|
Noam A Vanderwalde, MD 7714 Poplar Ave Ste 200, Attn: Credentialing, Germantown, TN 38138-3941 Ph: (901) 322-9080 | Noam A Vanderwalde, MD 7945 Wolf River Blvd, Germantown, TN 38138-1733 Ph: (901) 683-0055 |
Dr. Joseph Patrick Blankinship Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Richard G Bates, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Hollis H Halford Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Joel Evan Perchik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-1007 Fax: 901-531-7199 | |
Dr. William E Routt Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. James S Hausmann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Jennifer R Boals, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 |