| Dr Vincent K Samuel, MD | |
|
6060 Poplar Ave, Suite 364, Memphis, TN 38119-3980 | |
| (901) 818-2162 | |
| (901) 818-2163 |
| Full Name | Dr Vincent K Samuel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 6060 Poplar 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 |
|---|---|---|---|
| 1467428177 | NPI | - | NPPES |
| 3800784 | Medicaid | TN | |
| 00122566 | Medicaid | MS | |
| 209768415 | Medicaid | MO | |
| 146439001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD27856 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Saint Francis Bartlett Medical Center | Bartlett, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Ii, Pllc | 2668658493 | 60 |
| Lifelinc Anesthesia V, P.a. | 8921359712 | 33 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent K Samuel, MD 6060 Poplar Ave, Suite 364, Memphis, TN 38119-3980 Ph: (901) 818-2162 | Dr Vincent K Samuel, MD 6060 Poplar Ave, Suite 364, Memphis, TN 38119-3980 Ph: (901) 818-2162 |
Dr. Joel R Slade, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132 Phone: 901-448-2300 Fax: 901-448-6657 | |
Dr. Ruth Anne Bridges, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-682-2872 | |
Dr. Jeffrey A Blalack, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 316-685-6091 | |
Frederick D. Jones Iii, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5100 Poplar Ave Ste 2722, Memphis, TN 38137 Phone: 281-795-5891 | |
Dean M Harless, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 | |
Meghan Vogt Burkley, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 50 N Dunlap St, Memphis, TN 38103 Phone: 901-287-6060 | |
Simindokht Hazrati, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5744 Nanjack Cir, Memphis, TN 38115 Phone: 901-797-9711 Fax: 901-797-9771 |