Panrapee Jesse Mahautmr, MD | |
6019 Walnut Grove Rd, Memphis, TN 38120-2113 | |
(901) 226-3610 | |
Not Available |
Full Name | Panrapee Jesse Mahautmr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 8 Years |
Location | 6019 Walnut Grove Rd, 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 |
---|---|---|---|
1417302118 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Humboldt | 4082516950 | 12 |
Entity Name | County Of Humboldt |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871676213 PECOS PAC ID: 4082516950 Enrollment ID: O20040121001146 |
Mailing Address | Practice Location Address |
---|---|
Panrapee Jesse Mahautmr, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: (901) 226-3186 | Panrapee Jesse Mahautmr, MD 6019 Walnut Grove Rd, Memphis, TN 38120-2113 Ph: (901) 226-3610 |
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