| Lidia Teshome Degefa, MD | |
|
1995 Highyway 51 South, Covington, TN 38019 | |
| (901) 476-2621 | |
| Not Available |
| Full Name | Lidia Teshome Degefa |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1995 Highyway 51 South, Covington, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194427120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 18735 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | 77230 (Tennessee) | Primary |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Hospital Care Consultants of Fordyce LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess of Fordyce LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Entity Name | Ess of Mcgehee LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639822653 PECOS PAC ID: 0749677516 Enrollment ID: O20220426000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Lidia Teshome Degefa, MD 212 Sunset Pl Unit B, Redfield, AR 72132-8653 Ph: (901) 364-1627 | Lidia Teshome Degefa, MD 1995 Highyway 51 South, Covington, TN 38019 Ph: (901) 476-2621 |
Richard P. Guerrant Iii, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1995 Highway 51 S, Suite 111, Covington, TN 38019 Phone: 901-475-6607 Fax: 901-475-6612 |
Dr. Eric Alan Bower, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1995 Highway 51 S, Covington, TN 38019 Phone: 901-475-5422 Fax: 901-475-5595 |