| Customized Medical Needs | |
|
2129 West Street Suite 224 Germantown TN 38138-3837 | |
| (866) 563-7772 | |
| (901) 255-0758 |
| Full Name | Customized Medical Needs |
|---|---|
| Speciality | Occupational Therapist |
| Location | 2129 West Street, Germantown, Tennessee |
| Authorized Official Name and Position | Christi Alexander Davidson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8665637772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Customized Medical Needs 2129 West Street Suite 224 Germantown TN 38138-3837 Ph: (866) 563-7772 | Customized Medical Needs 2129 West Street Suite 224 Germantown TN 38138-3837 Ph: (866) 563-7772 |
| NPI Number | 1124361688 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 06/13/2014 |
| Medicare PECOS PAC ID | 8921249517 |
|---|---|
| Medicare Enrollment ID | O20130724000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124361688 | NPI | - | NPPES |
| 1531379 | Medicaid | TN | |
| 103G700897 | Other | TN | MEDICARE (PTAN) |
| Provider Name | Darl V Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538977 PECOS PAC ID: 5294718474 Enrollment ID: I20051222000714 |
| Provider Name | Justin T Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821100397 PECOS PAC ID: 0042317166 Enrollment ID: I20070523000620 |
| Provider Name | Kendrick Joyce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801949847 PECOS PAC ID: 2466518956 Enrollment ID: I20090309000259 |
| Provider Name | Theresa Lynette Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124045638 PECOS PAC ID: 6002814241 Enrollment ID: I20120131000410 |
| Provider Name | Brenita M Seay |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639707144 PECOS PAC ID: 7618419789 Enrollment ID: I20240604002358 |
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