Shelly L Thannum, MD | |
1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 | |
(901) 725-5846 | |
(901) 726-4827 |
Full Name | Shelly L Thannum |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 1755 Kirby Pkwy, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861597742 | NPI | - | NPPES |
157567001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 42916 (Tennessee) | Primary |
207L00000X | Anesthesiology | E4356 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Anesthesia Group, Pa | 9436047685 | 83 |
Medical Anesthesia Group, Pa | 9436047685 | 83 |
Medical Anesthesia Group, Pa | 9436047685 | 83 |
Entity Name | Medical Anesthesia Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679527501 PECOS PAC ID: 9436047685 Enrollment ID: O20130611000373 |
Mailing Address | Practice Location Address |
---|---|
Shelly L Thannum, MD Po Box 171306, Memphis, TN 38187 Ph: (800) 809-2106 | Shelly L Thannum, MD 1755 Kirby Pkwy, Suite 330, Memphis, TN 38120 Ph: (901) 725-5846 |
Dr. Joel R Slade, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657 | |
Dr. Ruth Anne Bridges, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-682-2872 | |
Dr. Jeffrey A Blalack, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 316-685-6091 | |
Frederick D. Jones Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5100 Poplar Ave Ste 2722, Memphis, TN 38137 Phone: 281-795-5891 | |
Dean M Harless, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 | |
Meghan Vogt Burkley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Dunlap St, Memphis, TN 38103 Phone: 901-287-6060 | |
Simindokht Hazrati, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5744 Nanjack Cir, Memphis, TN 38115 Phone: 901-797-9711 Fax: 901-797-9771 |