| Memphis Primary Care Specialists | |
|
3055 Watson St Memphis TN 38118-3011 | |
| (901) 369-6008 | |
| (901) 369-8618 |
| Full Name | Memphis Primary Care Specialists |
|---|---|
| Speciality | Family Medicine |
| Location | 3055 Watson St, Memphis, Tennessee |
| Authorized Official Name and Position | Shoaib Qureshi (OWNER) |
| Authorized Official Contact | 9013849920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memphis Primary Care Specialists 3960 Knight Arnold Rd Ste 102 Memphis TN 38118-3001 Ph: (901) 384-9920 | Memphis Primary Care Specialists 3055 Watson St Memphis TN 38118-3011 Ph: (901) 369-6008 |
| NPI Number | 1932540788 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/26/2024 |
| Medicare PECOS PAC ID | 1355578642 |
|---|---|
| Medicare Enrollment ID | O20140710001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932540788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
| Provider Name | Loretta Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285792648 PECOS PAC ID: 4981619715 Enrollment ID: I20060215000028 |
| Provider Name | Shoaib Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417056250 PECOS PAC ID: 9133222995 Enrollment ID: I20070315000192 |
| Provider Name | Juana A Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760401426 PECOS PAC ID: 6406861673 Enrollment ID: I20090708000806 |
| Provider Name | Marla R Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912284415 PECOS PAC ID: 7810164787 Enrollment ID: I20120117000455 |
| Provider Name | Mordecia D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629413091 PECOS PAC ID: 5496992612 Enrollment ID: I20130507000688 |
| Provider Name | Lauren Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427952 PECOS PAC ID: 5193027746 Enrollment ID: I20171122001569 |
| Provider Name | Mary L Wigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538806591 PECOS PAC ID: 4981086428 Enrollment ID: I20220801001884 |
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