Vcphcs Viii, Llc | |
1734 Madison Ave Memphis TN 38104-6414 | |
(901) 722-9420 | |
(901) 722-9422 |
Full Name | Vcphcs Viii, Llc |
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Speciality | Clinic/Center |
Location | 1734 Madison Ave, Memphis, Tennessee |
Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
Authorized Official Contact | 2143656126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vcphcs Viii, Llc 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Vcphcs Viii, Llc 1734 Madison Ave Memphis TN 38104-6414 Ph: (901) 722-9420 |
NPI Number | 1477999480 |
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Provider Enumeration Date | 05/16/2013 |
Last Update Date | 02/21/2019 |
Medicare PECOS PAC ID | 9739415217 |
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Medicare Enrollment ID | O20190722000822 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477999480 | NPI | - | NPPES |
Provider Name | William Alex James |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063494508 PECOS PAC ID: 9638131253 Enrollment ID: I20041027000259 |
Provider Name | Seth I Kaufman |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1891724738 PECOS PAC ID: 2769562644 Enrollment ID: I20080104000221 |
Provider Name | Joann S Marrs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104855451 PECOS PAC ID: 9739401720 Enrollment ID: I20141202000930 |
Provider Name | Nicky D Edwards |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336531698 PECOS PAC ID: 0749500544 Enrollment ID: I20150519000959 |
Provider Name | Molly Ledbetter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184170268 PECOS PAC ID: 7810278710 Enrollment ID: I20170109002167 |
Provider Name | Jose Luis Lopez-romero |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1659346674 PECOS PAC ID: 2466351762 Enrollment ID: I20170606002383 |
Provider Name | Brian Edward Fuller |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033409438 PECOS PAC ID: 1951616192 Enrollment ID: I20170725002414 |
Provider Name | Rikki Lynn Pleasants |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659326387 PECOS PAC ID: 1254344708 Enrollment ID: I20200402001070 |
Provider Name | Ida Santana |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1942483003 PECOS PAC ID: 0941376529 Enrollment ID: I20200413000221 |
Provider Name | Lisa Torres |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578105870 PECOS PAC ID: 3678995057 Enrollment ID: I20200613000050 |
Provider Name | Parul V Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194347658 PECOS PAC ID: 6800210238 Enrollment ID: I20200720000153 |
Provider Name | Jessica Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033725775 PECOS PAC ID: 5496167769 Enrollment ID: I20201209003227 |
Provider Name | Jennifer Lauren Rickett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033669494 PECOS PAC ID: 3971911058 Enrollment ID: I20210412000246 |
Provider Name | Emily Hahn |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811190796 PECOS PAC ID: 3375633589 Enrollment ID: I20210513002040 |
Provider Name | Raza Hussain |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1891960431 PECOS PAC ID: 0941488217 Enrollment ID: I20210615000598 |
Provider Name | John Francis O Connell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851479059 PECOS PAC ID: 1759717291 Enrollment ID: I20210812002823 |
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