Stephanie Beth Engelhard, MD | |
328 Coatsland Dr, Jackson, TN 38301-3908 | |
(731) 427-7799 | |
(731) 427-1476 |
Full Name | Stephanie Beth Engelhard |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 7 Years |
Location | 328 Coatsland Dr, Jackson, 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 |
---|---|---|---|
1063903003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R76834 (Arizona) | Secondary |
207W00000X | Ophthalmology | A177825 (California) | Secondary |
207W00000X | Ophthalmology | MD70108 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Keck Hospital Of Usc | Los angeles, CA | Hospital |
Lac+usc Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Usc Care Medical Group Inc | 0446157747 | 1142 |
Entity Name | Usc Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Beth Engelhard, MD 328 Coatsland Dr, Jackson, TN 38301-3908 Ph: (731) 427-7799 | Stephanie Beth Engelhard, MD 328 Coatsland Dr, Jackson, TN 38301-3908 Ph: (731) 427-7799 |
Stephen Dumas Hammond Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 | |
Dr. William Bradford Priester, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 609 Skyline Dr, Jackson, TN 38301 Phone: 731-427-7799 Fax: 731-427-1476 | |
Dr. Mark Roy Bateman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444 | |
Mrs. Hilary C. Grissom, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 668 Skyline Dr, Jackson, TN 38301 Phone: 731-424-2414 Fax: 731-424-4444 | |
James Alfred Price Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 668 Skyline Drive, Jackson, TN 38301 Phone: 731-424-2414 | |
Dr. Divya Lakshmi Indrakanti, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 112 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-664-1994 | |
Laura L Dipuma, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2027 Greystone Sq, Jackson, TN 38305 Phone: 731-668-6882 Fax: 731-668-6882 |