| Dr Susan Alex, MD | |
|
221 Sterling Farms Dr., Jackson, TN 38305-3609 | |
| (731) 668-4337 | |
| (731) 661-0124 |
| Full Name | Dr Susan Alex |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Nephrology |
| Location | 221 Sterling Farms Dr., Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003864117 | NPI | - | NPPES |
| 09016261 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 29292 (Tennessee) | Primary |
| 207R00000X | Internal Medicine | 29292 (Tennessee) | Secondary |
| Entity Name | West Tennessee Kidney Specialists P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821291543 PECOS PAC ID: 0446314256 Enrollment ID: O20090122000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Alex, MD 221 Sterling Farms Dr., Jackson, TN 38305-3609 Ph: (731) 668-4337 | Dr Susan Alex, MD 221 Sterling Farms Dr., Jackson, TN 38305-3609 Ph: (731) 668-4337 |
John Baker, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-421-6510 Fax: 731-421-6500 | |
Dr. Kelsey B Dexter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8336 | |
Kpienoba Manan Hien, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Lucas Carver, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Dr. Clyde E Smith, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 | |
Brittain Douglas Little, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 27a Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388 |