Stephen Gregory Portera, MD | |
6215 Humphreys Blvd Ste 110, Memphis, TN 38120-2382 | |
(901) 227-9610 | |
(901) 227-9615 |
Full Name | Stephen Gregory Portera |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 6215 Humphreys Blvd Ste 110, 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 |
---|---|---|---|
1205803608 | NPI | - | NPPES |
3800896 | Medicaid | TN | |
4015978 | Other | TN | BCBST |
07659397 | Medicaid | MS | |
04123847 | Medicaid | MS | |
97375 | Other | AR | BCBS AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD25742 (Tennessee) | Primary |
207V00000X | Obstetrics & Gynecology | 25742 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385 |
Mailing Address | Practice Location Address |
---|---|
Stephen Gregory Portera, MD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () - | Stephen Gregory Portera, MD 6215 Humphreys Blvd Ste 110, Memphis, TN 38120-2382 Ph: (901) 227-9610 |
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 | |
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 |