Miss Meghan Marie Madea, CNM, NP | |
2500 Peres Ave, Memphis, TN 38108-1660 | |
(901) 515-5500 | |
(901) 458-5591 |
Full Name | Miss Meghan Marie Madea |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2500 Peres Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033397880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 0064 (Northern Mariana Islands) | Secondary |
367A00000X | Advanced Practice Midwife | 16959 (Tennessee) | Primary |
Entity Name | Ut Regional One Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice Location Address |
---|---|
Miss Meghan Marie Madea, CNM, NP 877 Jefferson Ave, Attn: Provider Enrollment, Memphis, TN 38103-2807 Ph: (901) 545-8336 | Miss Meghan Marie Madea, CNM, NP 2500 Peres Ave, Memphis, TN 38108-1660 Ph: (901) 515-5500 |
Amy L Devore, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 Peres Ave, Memphis, TN 38108 Phone: 901-515-5500 Fax: 901-458-5591 | |
Nekea Alyse Smith, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1203 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Alexis Dunn Amore, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1203 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Edna Marie Lewis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-515-3800 Fax: 901-302-2491 | |
Kemetra Shen'ee King, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1726 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Angel Nashae Street, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1203 Poplar Ave, Memphis, TN 38104 Phone: 901-274-3550 | |
Mrs. Amanda Lynn Williams, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-515-3800 Fax: 901-302-2491 |