| Surgical Monitoring Services, Llc | |
|
3 Maryland Farms Ste 200 Brentwood TN 37027-5780 | |
| (800) 348-4565 | |
| (615) 345-5405 |
| Full Name | Surgical Monitoring Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3 Maryland Farms Ste 200, Brentwood, Tennessee |
| Authorized Official Name and Position | Jeffrey Gray (EVP, CFO & CRO) |
| Authorized Official Contact | 8003484565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Monitoring Services, Llc 3 Maryland Farms Ste 200 Brentwood TN 37027-5780 Ph: (800) 348-4565 | Surgical Monitoring Services, Llc 3 Maryland Farms Ste 200 Brentwood TN 37027-5780 Ph: (800) 348-4565 |
| NPI Number | 1811074859 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 8325952716 |
|---|---|
| Medicare Enrollment ID | O20040202001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811074859 | NPI | - | NPPES |
| 1811074859 | Medicaid | VA | |
| 313953 | Medicaid | AZ | |
| 418219700 | Medicaid | MD | |
| 432840700 | Medicaid | ME | |
| 004265957 | Medicaid | CT | |
| 1015358060001 | Medicaid | PA | |
| 200806520A | Medicaid | IN | |
| 507408003 | Medicaid | MO | |
| 7135619 | Medicaid | WA | |
| 73883875 | Medicaid | CO | |
| GP4366 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Maryland) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Saher Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275744161 PECOS PAC ID: 9133387277 Enrollment ID: I20141126001411 |
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