| Dr Manoj Mrinal Mazumder, MD | |
|
877 Jefferson Ave, Memphis, TN 38103-2807 | |
| (901) 545-7100 | |
| Not Available |
| Full Name | Dr Manoj Mrinal Mazumder |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 877 Jefferson Ave, Memphis, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588813257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 47627 (Tennessee) | Primary |
| 207P00000X | Emergency Medicine | E6321 (Arkansas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tate County Hospital | 6103282165 | 28 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215501788 PECOS PAC ID: 5890101208 Enrollment ID: O20210603000314 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053086819 PECOS PAC ID: 1850778689 Enrollment ID: O20220517003246 |
| Entity Name | Tate County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285331298 PECOS PAC ID: 6103282165 Enrollment ID: O20230517000566 |
| Entity Name | Olive Branch Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730969734 PECOS PAC ID: 9335598739 Enrollment ID: O20231211002611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Manoj Mrinal Mazumder, MD 4380 Hardgreaves Ln, Apt # 308, Memphis, TN 38125-2496 Ph: (501) 749-1520 | Dr Manoj Mrinal Mazumder, MD 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 545-7100 |
Dr. Lori Rae Holtzman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2565 Horizon Lake Dr Ste 114, Memphis, TN 38133 Phone: 901-350-2639 Fax: 901-249-4563 | |
Dr. Michael Jerome Washington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400 | |
Dr. Anthony C Moretta, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 505 Tennessee St Apt 304, Memphis, TN 38103 Phone: 901-626-9560 | |
Dr. Claude F Varner Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-291-2400 | |
Dr. Clyde M Brown, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3960 New Covington Pike, Memphis, TN 38128 Phone: 901-516-5211 | |
Jason Taylor Silberman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove Rd, Memphis, TN 38120 Phone: 901-226-3010 Fax: 901-226-1216 | |
Lesa Jordan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 710 N Main St, Memphis, TN 38107 Phone: 901-626-2266 |