| Integrated Medicine Clinic | |
|
333 S Bellevue Blvd Memphis TN 38104-3530 | |
| (901) 729-2708 | |
| (901) 729-2720 |
| Full Name | Integrated Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 S Bellevue Blvd, Memphis, Tennessee |
| Authorized Official Name and Position | Russell D Beis (PRESIDENT) |
| Authorized Official Contact | 9015824059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Medicine Clinic 4728 Spottswood Ave # 218 Memphis TN 38117-4817 Ph: (901) 582-4059 | Integrated Medicine Clinic 333 S Bellevue Blvd Memphis TN 38104-3530 Ph: (901) 729-2708 |
| NPI Number | 1548839459 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 03/02/2024 |
| Medicare PECOS PAC ID | 6507263647 |
|---|---|
| Medicare Enrollment ID | O20210916001522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell D Beis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942256102 PECOS PAC ID: 2668412248 Enrollment ID: I20050504000135 |
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