| Marissa Anne Mencio, MD | |
|
3901 Central Pike Ste 351, Hermitage, TN 37076 | |
| (615) 889-8802 | |
| Not Available |
| Full Name | Marissa Anne Mencio |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 3901 Central Pike Ste 351, Hermitage, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609295534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 298487-1 (New York) | Secondary |
| 208600000X | Surgery | 61783 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Thomas West Hospital | Nashville, TN | Hospital |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Diagnostic Imaging Pc | 7315848140 | 537 |
| Entity Name | Saint Thomas Medical Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194669 PECOS PAC ID: 1557269354 Enrollment ID: O20031230000470 |
| Entity Name | Advanced Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Anne Mencio, MD 3024 Business Park Cir, Goodlettsville, TN 37072-3132 Ph: (615) 239-2018 | Marissa Anne Mencio, MD 3901 Central Pike Ste 351, Hermitage, TN 37076 Ph: (615) 889-8802 |
Dr. Tif Siragusa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 302 Old Lebanon Dirt Rd Ste 301, Hermitage, TN 37076 Phone: 615-884-7600 Fax: 615-884-7799 | |
Michael C Thomas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3901 Central Pike, Suite 555, Hermitage, TN 37076 Phone: 615-874-9667 Fax: 615-871-9682 |