| Family Medicine Partners Llc | |
|
2028 W Poplar Ave Ste 111 Collierville TN 38017-0618 | |
| (901) 850-9900 | |
| (901) 853-2706 |
| Full Name | Family Medicine Partners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2028 W Poplar Ave Ste 111, Collierville, Tennessee |
| Authorized Official Name and Position | Fidel Deleon Makapugay (M.D.) |
| Authorized Official Contact | 9018509900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Partners Llc 2028 W Poplar Ave Ste 111 Collierville TN 38017-0618 Ph: (901) 850-9900 | Family Medicine Partners Llc 2028 W Poplar Ave Ste 111 Collierville TN 38017-0618 Ph: (901) 850-9900 |
| NPI Number | 1831149533 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/07/2023 |
| Medicare PECOS PAC ID | 5496720070 |
|---|---|
| Medicare Enrollment ID | O20040827000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831149533 | NPI | - | NPPES |
| 3121215 | Other | TN | BCBST-PIN # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000021004 (Tennessee) | Primary |
| Provider Name | Fidel Makapugay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447200464 PECOS PAC ID: 7719952423 Enrollment ID: I20040826001275 |
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