| Superiorcare Medical Group Llc | |
|
1175 Vickery Ln Ste 101 Cordova TN 38016-0682 | |
| (662) 408-6995 | |
| Not Available |
| Full Name | Superiorcare Medical Group Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1175 Vickery Ln Ste 101, Cordova, Tennessee |
| Authorized Official Name and Position | Donna Luckett (MEMBER) |
| Authorized Official Contact | 6624037741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superiorcare Medical Group Llc 3750 Hacks Cross Rd # 102-202 Memphis TN 38125-2367 Ph: (662) 408-6995 | Superiorcare Medical Group Llc 1175 Vickery Ln Ste 101 Cordova TN 38016-0682 Ph: (662) 408-6995 |
| NPI Number | 1124802178 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 5890138598 |
|---|---|
| Medicare Enrollment ID | O20240209001905 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124802178 | NPI | - | NPPES |
| Provider Name | Donna Luckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609332840 PECOS PAC ID: 8729400395 Enrollment ID: I20200629000468 |
Sanitas Medical Center Of Tennessee Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2382 N Germantown Pkwy Ste 101, Cordova, TN 38016 Phone: 866-364-8944 Fax: 888-905-2512 | |
Segue Health Partners Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 765 Woodland Trace Ln, Cordova, TN 38018 Phone: 901-493-0111 | |
Timber Creek Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Timber Creek Dr, Suite 2, Cordova, TN 38018 Phone: 901-412-1542 | |
Your Wellness Choice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1143 Cully Rd, Cordova, TN 38018 Phone: 901-672-6410 Fax: 901-752-8843 | |
All Day Screening, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Walnut Bend Rd Ste 1, Cordova, TN 38018 Phone: 901-666-2866 Fax: 901-244-7683 | |
Grace Land Recovery Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 134 Timber Creek Dr, Cordova, TN 38018 Phone: 901-519-2655 Fax: 404-698-1497 |