| Primus Medical Group Pc | |
|
1264 Wesley Dr #206 Memphis TN 38116-6400 | |
| (901) 364-6566 | |
| (901) 844-1439 |
| Full Name | Primus Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1264 Wesley Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Benjamine F. Evans (OWNER) |
| Authorized Official Contact | 9013466566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primus Medical Group Pc 1264 Wesley Dr #206 Memphis TN 38116-6400 Ph: (901) 364-6566 | Primus Medical Group Pc 1264 Wesley Dr #206 Memphis TN 38116-6400 Ph: (901) 364-6566 |
| NPI Number | 1710028493 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 07/07/2010 |
| Medicare PECOS PAC ID | 0941483135 |
|---|---|
| Medicare Enrollment ID | O20110325000133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710028493 | NPI | - | NPPES |
| 99977 | Other | TN | BCBS OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD019874 (Tennessee) | Primary |
| Provider Name | Benjamin F Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568439057 PECOS PAC ID: 1850574047 Enrollment ID: I20110325000198 |
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