| 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 | 39 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highland Hills Medical Center | Senatobia, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rh Arkansas Emergency Medicine Pllc | 5395285571 | 20 |
| Tate County Hospital | 6103282165 | 35 |
| 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: O20050418001201 |
| Entity Name | Forrest City Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497080501 PECOS PAC ID: 0648319624 Enrollment ID: O20091204000091 |
| Entity Name | RH Arkansas Emergency Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801643499 PECOS PAC ID: 5395285571 Enrollment ID: O20240914000180 |
| 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. Virginia Katherine Nisbet, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163 Phone: 615-396-6449 |
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: Not Enrolled in Medicare 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 |
Lesa Jordan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 710 N Main St, Memphis, TN 38107 Phone: 901-626-2266 |