Phillip R Northcross, MC | |
3440 Poplar Ave, Suite 13, Memphis, TN 38111-4653 | |
(901) 523-7781 | |
Not Available |
Full Name | Phillip R Northcross |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 40 Years |
Location | 3440 Poplar Ave, 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 |
---|---|---|---|
1831166677 | NPI | - | NPPES |
3020931 | Medicaid | TN | |
3061799 | Other | TN | BCBST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD017326 (Tennessee) | Primary |
Entity Name | Northcross Internal Medicine, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871068361 PECOS PAC ID: 8921344433 Enrollment ID: O20190103002767 |
Mailing Address | Practice Location Address |
---|---|
Phillip R Northcross, MC 3445 Poplar Ave, Ste 13, Memphis, TN 38111-4667 Ph: (901) 523-7781 | Phillip R Northcross, MC 3440 Poplar Ave, Suite 13, Memphis, TN 38111-4653 Ph: (901) 523-7781 |
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