Mrs Agnes Coughlin Fratta, FNP | |
7460 Wolf River Blvd, Germantown, TN 38138-1760 | |
(901) 763-0200 | |
(901) 761-4002 |
Full Name | Mrs Agnes Coughlin Fratta |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 7460 Wolf River Blvd, Germantown, 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 |
---|---|---|---|
1780756924 | NPI | - | NPPES |
12377 | Other | TN | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 12377 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Specialty Physician Group Llc | 9537291323 | 93 |
Specialty Physician Group Llc | 9537291323 | 93 |
Entity Name | Specialty Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297 |
Mailing Address | Practice Location Address |
---|---|
Mrs Agnes Coughlin Fratta, FNP Po Box 1000, Dept 960, Memphis, TN 38148-0001 Ph: (901) 763-0200 | Mrs Agnes Coughlin Fratta, FNP 7460 Wolf River Blvd, Germantown, TN 38138-1760 Ph: (901) 763-0200 |
Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017 | |
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713 | |
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035 | |
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220 | |
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196 | |
Kelli Chase Gill, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7600 Wolf River Blvd Ste 120, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-682-1362 | |
Hannah Case, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6799 Great Oaks Rd Ste 105, Germantown, TN 38138 Phone: 901-821-8300 |