| Elite Physicians Group | |
|
9005 Overlook Blvd Brentwood TN 37027-5269 | |
| (615) 873-2975 | |
| (615) 873-2975 |
| Full Name | Elite Physicians Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 9005 Overlook Blvd, Brentwood, Tennessee |
| Authorized Official Name and Position | Casey William Sasser (CO-OWNER/PARTNER) |
| Authorized Official Contact | 9312063549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Physicians Group 9005 Overlook Blvd Brentwood TN 37027-5269 Ph: (615) 873-2975 | Elite Physicians Group 9005 Overlook Blvd Brentwood TN 37027-5269 Ph: (615) 873-2975 |
| NPI Number | 1104315373 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 5395099337 |
|---|---|
| Medicare Enrollment ID | O20181112000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104315373 | NPI | - | NPPES |
| Q024217 | Medicaid | TN | |
| Q025243 | Medicaid | TN | |
| 1516161 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54921 (Tennessee) | Primary |
| Provider Name | Darren K Adderly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386904522 PECOS PAC ID: 8820376510 Enrollment ID: I20161101000523 |
| Provider Name | Chintan Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588008973 PECOS PAC ID: 1153632880 Enrollment ID: I20161202000670 |
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