Lissa Nicole Roux, FNP | |
2400 Poplar Ave, Suite 501, Memphis, TN 38112-3213 | |
(901) 701-2580 | |
(901) 260-8449 |
Full Name | Lissa Nicole Roux |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 2400 Poplar Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902151095 | NPI | - | NPPES |
1529003 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R881642 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 16791 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Makarios Group 3 Llc | 7517277171 | 2 |
Entity Name | Christ Community Health Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468 |
Entity Name | Makarios Group 3 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023427853 PECOS PAC ID: 7517277171 Enrollment ID: O20151111000092 |
Mailing Address | Practice Location Address |
---|---|
Lissa Nicole Roux, FNP 2595 Central Ave, Memphis, TN 38104-5905 Ph: (901) 260-8500 | Lissa Nicole Roux, FNP 2400 Poplar Ave, Suite 501, Memphis, TN 38112-3213 Ph: (901) 701-2580 |
Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711 | |
Mrs. Leslie Rhodes, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-937-6681 | |
Gwendolyn Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Poplar Ave, Memphis, TN 38103 Phone: 901-545-2445 | |
Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715 | |
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598 | |
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391 | |
Teri Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3530 Hickory Hill Rd, Memphis, TN 38115 Phone: 901-881-6686 |