Prateek Kumar Gupta, MBBS | |
1325 Eastmoreland Ave, Suite 310, Memphis, TN 38104-3519 | |
(901) 272-6010 | |
(901) 266-6468 |
Full Name | Prateek Kumar Gupta |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 19 Years |
Location | 1325 Eastmoreland 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 |
---|---|---|---|
1952555666 | NPI | - | NPPES |
01303031 | Medicaid | MS | |
208461001 | Medicaid | AR | |
Q009116 | Medicaid | TN | |
6026580 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 51677 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
St Francis Hospital | Memphis, TN | Hospital |
Baptist Memorial Hospital Union County | New albany, MS | Hospital |
Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vascular And Vein Institute Of The South Pllc | 9739423336 | 14 |
Vascular And Vein Institute Of The South Pllc | 9739423336 | 14 |
Vascular And Vein Institute Of The South Pllc | 9739423336 | 14 |
Entity Name | Vascular And Vein Institute Of The South Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275016941 PECOS PAC ID: 9739423336 Enrollment ID: O20181210000856 |
Mailing Address | Practice Location Address |
---|---|
Prateek Kumar Gupta, MBBS Po Box 1000, Dept # 457, Memphis, TN 38148-0001 Ph: (901) 272-6010 | Prateek Kumar Gupta, MBBS 1325 Eastmoreland Ave, Suite 310, Memphis, TN 38104-3519 Ph: (901) 272-6010 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 |