| Mr Edmundo H Yibirin Peluffo, MD | |
|
301 Wolverine Trail, Suite 202, Smyrna, TN 37167 | |
| (615) 801-2087 | |
| (615) 462-7062 |
| Full Name | Mr Edmundo H Yibirin Peluffo |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 301 Wolverine Trail, Smyrna, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588858567 | NPI | - | NPPES |
| Q029376 | Medicaid | TN | |
| MD0000043802 | Other | TN | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MD43802 (Tennessee) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD43802 (Tennessee) | Primary |
| Entity Name | Pediatrix Medical Group Of Tennessee, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497852107 PECOS PAC ID: 2668538265 Enrollment ID: O20090305000758 |
| Entity Name | Clinica Hispana Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235801176 PECOS PAC ID: 4385034990 Enrollment ID: O20211214000124 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Edmundo H Yibirin Peluffo, MD 301 Wolverine Trl Ste 202, Smyrna, TN 37167-5656 Ph: (615) 801-2087 | Mr Edmundo H Yibirin Peluffo, MD 301 Wolverine Trail, Suite 202, Smyrna, TN 37167 Ph: (615) 801-2087 |
Alixandra Hunzicker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2020 Rock Springs Rd, Smyrna, TN 37167 Phone: 615-223-0200 | |
Mrs. Kara Mckinney, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Stonecrest Blvd, Smyrna, TN 37167 Phone: 629-225-7692 | |
Afam C Ikejiani, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 301 Wolverine Trl, Suite 200, Smyrna, TN 37167 Phone: 615-459-5228 Fax: 615-459-5370 | |
Dr. Boniface N Ikejiani, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 400 Chaney Rd Apt 516, Smyrna, TN 37167 Phone: 615-738-9953 Fax: 615-551-4163 | |
Angela E Rubley, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Stonecrest Blvd Ste 250, Smyrna, TN 37167 Phone: 615-223-0200 | |
Kimberly N King, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Stonecrest Blvd, Suite 250, Smyrna, TN 37167 Phone: 615-984-4751 Fax: 615-984-4752 | |
Louis T Riley, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167 Phone: 615-223-0200 Fax: 615-223-8704 |