| Dr Dani Kruchevsky, MD | |
| 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 | |
| (901) 866-8525 | |
| (901) 302-2525 | 
| Full Name | Dr Dani Kruchevsky | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Plastic And Reconstructive Surgery | 
| Location | 1068 Cresthaven Rd Ste 500, Memphis, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063123016 | NPI | - | NPPES | 
| Entity Name | Ut Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384 | 
| Entity Name | St Jude Childrens Research Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Dani Kruchevsky, MD 1068 Cresthaven Rd Ste 300, Memphis, TN 38119-0809 Ph: (901) 866-8864 | Dr Dani Kruchevsky, MD 1068 Cresthaven Rd Ste 500, Memphis, TN 38119-0846 Ph: (901) 866-8525 | 
| Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
| Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
| Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
| Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
| Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
| Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 | |
| Dr. Jonathan J Ellichman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6401 Poplar Ave Ste 410, Memphis, TN 38119 Phone: 901-259-2718 Fax: 901-259-1123 |