| Dr William Rodger Funderburg, MD | |
|
1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 | |
| (901) 818-2162 | |
| (901) 818-2163 |
| Full Name | Dr William Rodger Funderburg |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 1900 Exeter 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 |
|---|---|---|---|
| 1639145378 | NPI | - | NPPES |
| 146519001 | Medicaid | AR | |
| 3843529 | Medicaid | TN | |
| 00122665 | Medicaid | MS | |
| 209286400 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD31548 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Jonesboro Anesthesia Inc | 6709798077 | 55 |
| 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 | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Entity Name | Ut Regional One Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Rodger Funderburg, MD 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2162 | Dr William Rodger Funderburg, MD 1900 Exeter Rd, Suite 210, Germantown, TN 38138-2954 Ph: (901) 818-2162 |
Dr. Charles H. Gairhan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 | |
Dr. Stephen T. Hood, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 | |
Dr. Bhanu V. Kanakamedala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 | |
Dr. Clarence G Herrington Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9779 W Laurel Hollow Ln, Germantown, TN 38139 Phone: 901-457-7429 | |
Dr. Herbert Lamar Lindsay, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 | |
Dr. Stuart J. Lazarov, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 | |
Dr. Scott L. Bartusch, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Exeter Rd, Suite 210, Germantown, TN 38138 Phone: 901-818-2162 Fax: 901-818-2163 |