| Deepak Mehrotra, MD | |
| 
					2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122-3934  | |
| (629) 255-2032 | |
| (629) 255-4223 | 
| Full Name | Deepak Mehrotra | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 2025 N Mount Juliet Rd Ste 200, Mt Juliet, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043204878 | NPI | - | NPPES | 
| 1512351 | Medicaid | TN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD30253 (Tennessee) | Primary | 
| Entity Name | Heritage Medical Associates Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548284060 PECOS PAC ID: 4688651037 Enrollment ID: O20040702000463  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Deepak Mehrotra, MD 222 22nd Ave N, Nashville, TN 37203-1870 Ph: (629) 255-3486  | Deepak Mehrotra, MD 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122-3934 Ph: (629) 255-2032  | 
Wendy Lynne Hitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2026 Fax: 629-255-4217  | |
Neil Edward Kirshner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2028 Fax: 629-255-4219  | |
Allyson E Somers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2035 Fax: 629-255-4226  | |
Dr. Andrew Ryan Alsentzer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2025 N Mount Juliet Rd Ste 200, Mt Juliet, TN 37122 Phone: 629-255-2022 Fax: 629-255-4213  |