| Dr Stephen Michael Huddleston, MD | |
|
1432 Kimbrough Rd, Germantown, TN 38138-2405 | |
| (901) 767-4499 | |
| (901) 761-0727 |
| Full Name | Dr Stephen Michael Huddleston |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 15 Years |
| Location | 1432 Kimbrough Rd, Germantown, 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 |
|---|---|---|---|
| 1992022800 | NPI | - | NPPES |
| 1992022800 | Medicaid | AL | |
| 1992022800 | Medicaid | MO | |
| Q009896 | Medicaid | TN | |
| 003181608A | Medicaid | GA | |
| 00284540 | Medicaid | MS | |
| 206796001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | 51045 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ut Medical Group Inc | 3173435369 | 80 |
| Charles Retina Institute Pc | 9830002583 | 11 |
| Charles Retina Institute Pc | 9830002583 | 11 |
| 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 | Charles Retina Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477556306 PECOS PAC ID: 9830002583 Enrollment ID: O20031108000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Michael Huddleston, MD 1432 Kimbrough Rd, Germantown, TN 38138-2405 Ph: (901) 767-4499 | Dr Stephen Michael Huddleston, MD 1432 Kimbrough Rd, Germantown, TN 38138-2405 Ph: (901) 767-4499 |
David Elliot Fingerhut, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1432 Kimbrough Rd, Germantown, TN 38138 Phone: 901-767-4499 Fax: 901-767-5071 | |
Kyle Benjamin Vinson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1432 Kimbrough Rd, Germantown, TN 38138 Phone: 901-767-4499 | |
Mr. Henry T Grizzard, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7205 Wolf River Blvd, Germantown, TN 38138 Phone: 901-682-5687 Fax: 901-522-6613 | |
Scott Sullivan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1432 Kimbrough Rd, Germantown, TN 38138 Phone: 901-767-4499 | |
Osman Cengiz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1432 Kimbrough Rd, Germantown, TN 38138 Phone: 901-767-4499 Fax: 901-767-5071 | |
Dr. Steve T Charles, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1432 Kimbrough Rd, Germantown, TN 38138 Phone: 901-767-4499 Fax: 901-761-0727 |