| Dr Peter B Amminger, MD | |
|
St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 | |
| (901) 495-3006 | |
| (901) 495-3842 |
| Full Name | Dr Peter B Amminger |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | St. Jude Children's Research Hospital, 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 |
|---|---|---|---|
| 1932102142 | NPI | - | NPPES |
| 02575175-03 | Medicaid | NY | |
| 200509280A | Medicaid | IN | |
| 209028901 | Medicaid | MO | |
| 5440422 | Medicaid | TN | |
| 422400000 | Medicaid | ME | |
| 1471747 | Medicaid | LA | |
| 172233201 | Medicaid | TX | |
| 216086200 | Medicaid | MN | |
| 009947665 | Medicaid | AL | |
| 155224001 | Medicaid | AR | |
| 2495438 | Medicaid | OH | |
| 64093560 | Medicaid | KY | |
| 04179761 | Medicaid | MS | |
| 104677876 | Medicaid | MI | |
| 200076000A | Medicaid | OK | |
| 7614122 | Medicaid | NC | |
| Q38052 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 38052 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 38052 (Tennessee) | Primary |
| Entity Name | Integrated Wound Care Tennessee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215593991 PECOS PAC ID: 8527394477 Enrollment ID: O20190730002619 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter B Amminger, MD St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 Ph: (901) 495-3006 | Dr Peter B Amminger, MD St. Jude Children's Research Hospital, 332 N Lauderdale St., Ms 0515, Memphis, TN 38105-2794 Ph: (901) 495-3006 |
Dr. Daniel Wakefield, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 920 Madison Ave, Suite 447, Memphis, TN 38103 Phone: 901-448-5814 | |
Madison H Buckley Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 50 Humphreys Ctr, Suite 23, Memphis, TN 38120 Phone: 901-226-0810 Fax: 901-383-8985 | |
Paul R Tanner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove, Memphis, TN 38120 Phone: 901-383-8860 Fax: 901-383-1194 | |
Martha E Glenn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120 Phone: 901-227-9650 | |
Matthew T. Ballo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-683-0055 Fax: 901-685-2969 | |
Terry L Thompson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-3212 | |
Stefan J Cowles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-1727 |