Thomas Berkley Shelton, MD | |
1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 | |
(901) 252-3400 | |
(901) 763-4305 |
Full Name | Thomas Berkley Shelton |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 44 Years |
Location | 1325 Wolf Park Dr, Germantown, 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 |
---|---|---|---|
1710945522 | NPI | - | NPPES |
4666085 | Other | AETNA | |
7299460 | Other | CIGNA | |
12940660 | Other | PHCS | |
747572 | Other | FIRST HEALTH | |
0100720 | Other | TN | BLUE CROSS |
02110025100 | Other | QUAL CHOICE | |
211159 | Other | SOUTHERN HEALTH SERVICES | |
89422 | Other | BLUE CROSS AR | |
3021792 | Medicaid | TN | |
381926 | Other | HEALTH LINK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 14342 (Tennessee) | Primary |
208800000X | Urology | 11619 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conrad Pearson Clinic Pc | 7315832649 | 17 |
Conrad Pearson Clinic Pc | 7315832649 | 17 |
Entity Name | Conrad Pearson Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992758882 PECOS PAC ID: 7315832649 Enrollment ID: O20040217000217 |
Mailing Address | Practice Location Address |
---|---|
Thomas Berkley Shelton, MD 1325 Wolf Park Dr, Suite 103, Germantown, TN 38138-1742 Ph: (901) 252-3411 | Thomas Berkley Shelton, MD 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138-1742 Ph: (901) 252-3400 |
Harold Michael Mcswain, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Homer David Hickey Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Paul Richard Eber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Matthew Earl Sims, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1325 Wolf Park Dr Ste 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-763-4305 | |
Holt Benjamin Maddux Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-682-0047 | |
Dr. Patrick J Zielie, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1325 Wolf Park Dr Ste 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-763-4305 | |
Howard Bernhard Hasen Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1325 Wolf Park Dr, Suite 102, Germantown, TN 38138 Phone: 901-252-3400 Fax: 901-384-8840 |