Edward Richard Moran Jr, MD | |
5959 Park Avenue, St Francis Hospital, Memphis, TN 38119-5198 | |
(901) 432-0173 | |
(901) 854-1585 |
Full Name | Edward Richard Moran Jr |
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Gender | Male |
Speciality | Anesthesiology |
Location | 5959 Park Avenue, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588734727 | NPI | - | NPPES |
3076704 | Medicaid | TN | |
3126765 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD20894 (Tennessee) | Primary |
Entity Name | Lifelinc Anesthesia V, P.a. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
Mailing Address | Practice Location Address |
---|---|
Edward Richard Moran Jr, MD Po Box 382927, Germantown, TN 38188-2927 Ph: (901) 432-0173 | Edward Richard Moran Jr, MD 5959 Park Avenue, St Francis Hospital, Memphis, TN 38119-5198 Ph: (901) 432-0173 |
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: Accepting Medicare Assignments 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: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 | |
Meghan Vogt Burkley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments 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 |