| Fathi Idris Ali, MD | |
|
1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 | |
| (931) 388-8622 | |
| (931) 381-7270 |
| Full Name | Fathi Idris Ali |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 37 Years |
| Location | 1220 Trotwood Ave, Columbia, 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 |
|---|---|---|---|
| 1811905409 | NPI | - | NPPES |
| 4204226 | Other | TN | BCBST |
| 3379860 | Medicaid | TN | |
| 1509829 | Medicaid | TN | |
| 06CBBCG | Other | GA | MEDICARE # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Southern Hills Medical Center | Nashville, TN | Hospital |
| Tristar Stonecrest Medical Center | Smyrna, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centennial Heart Llc | 9931204237 | 119 |
| Entity Name | Centennial Heart Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245393057 PECOS PAC ID: 9931204237 Enrollment ID: O20070416000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Fathi Idris Ali, MD 854 W James Campbell Blvd, Suite 303 A, Columbia, TN 38401-4659 Ph: (931) 540-4255 | Fathi Idris Ali, MD 1220 Trotwood Ave, Suite 401, Columbia, TN 38401-6433 Ph: (931) 388-8622 |
Bethany G Summerford, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Hany Nimr Rezk, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
Anthony Donald Haase Iii, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043 | |
Christopher R Edwards, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111 | |
Dr. Cheryl Buttram Clayton, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105 | |
John Spencer Jensen, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797 | |
Dominic J Papa, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4032 Fax: 931-490-7043 |