| Dr Rose C Ellen, MD | |
|
1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | |
| (901) 448-2300 | |
| (901) 448-6657 |
| Full Name | Dr Rose C Ellen |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1910 Nonconnah Blvd, 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 |
|---|---|---|---|
| 1215994595 | NPI | - | NPPES |
| 3096592 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 27474 (Tennessee) | Primary |
| Entity Name | Memphis Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144236902 PECOS PAC ID: 7315859972 Enrollment ID: O20031103000245 |
| Entity Name | Consolidated Medical Practices Of Memphis,pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508027491 PECOS PAC ID: 1759459845 Enrollment ID: O20081002000198 |
| Entity Name | Memphis Urgent Care #2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164840609 PECOS PAC ID: 0648407023 Enrollment ID: O20131210000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rose C Ellen, MD 66 N Pauline St, Suite 206, Memphis, TN 38105-5105 Ph: (901) 448-7642 | Dr Rose C Ellen, MD 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 Ph: (901) 448-2300 |
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: Medicare Enrolled 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 |