Robert W Wake, MD | |
6555 Quince Rd, Memphis, TN 38119-8202 | |
(901) 515-5704 | |
(901) 515-5729 |
Full Name | Robert W Wake |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 6555 Quince 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 |
---|---|---|---|
1982661088 | NPI | - | NPPES |
P01245913 | Other | TN | RAILROAD MEDICARE |
117837001 | Medicaid | AR | |
Q002427 | Medicaid | TN | |
00010307 | Medicaid | MS | |
4355718 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 17572 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional One Health | Memphis, TN | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ut Regional One Physicians Inc | 5698993418 | 277 |
Entity Name | Ut Regional One Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice Location Address |
---|---|
Robert W Wake, MD 877 Jefferson Ave, Attn: Provider Enrollment, Memphis, TN 38103-2807 Ph: (901) 545-7302 | Robert W Wake, MD 6555 Quince Rd, Memphis, TN 38119-8202 Ph: (901) 515-5704 |
Bradley Houston, M.D. Urology Medicare: May Accept Medicare Assignments Practice Location: University Of Tennessee, 920 Madison Avenue Suite 447, Memphis, TN 38163 Phone: 901-448-7635 | |
Dr. Mark Jay Saslawsky, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 995 S Yates Rd, Ste. 1, Memphis, TN 38119 Phone: 901-527-7100 Fax: 901-527-7124 | |
Stephen Gregory Portera, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd Ste 110, Memphis, TN 38120 Phone: 901-227-9610 Fax: 901-227-9615 | |
Dr. Mohamed Ahmed Soltan, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-663-4801 | |
David A Gubin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6029 Walnut Grove Rd., Suite 300, Memphis, TN 38120 Phone: 901-767-8158 Fax: 901-767-1555 | |
Dr. Stephen Mark Eppel, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 995 S Yates Rd, Ste. 1, Memphis, TN 38119 Phone: 901-527-7100 Fax: 901-527-7124 | |
William Van Bingham, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6005 Park Ave, Suite 803, Memphis, TN 38119 Phone: 901-683-0642 Fax: 901-881-6011 |