| Navid Monajjem, MD | |
|
120 Frank Martin Rd, Suite 103, Shelbyville, TN 37160-7194 | |
| (931) 684-4074 | |
| (931) 684-6992 |
| Full Name | Navid Monajjem |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | 120 Frank Martin Rd, Shelbyville, 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 |
|---|---|---|---|
| 1316946122 | NPI | - | NPPES |
| 10071927 | Other | TN | AMERIGROUP |
| 12050525 | Other | TN | MULTIPLAN |
| 3338490 | Medicaid | TN | |
| 8008045 | Other | TN | CIGNA |
| 7380077 | Other | TN | AETNA |
| 4124833 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101224276 (Virginia) | Secondary |
| 208600000X | Surgery | 40991 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-shelbyville | Shelbyville, TN | Hospital |
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanderbilt Integrated Providers Llc | 7012817919 | 80 |
| Vanderbilt University Medical Center | 5092023416 | 3447 |
| Entity Name | Vanderbilt Integrated Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Navid Monajjem, MD 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000 | Navid Monajjem, MD 120 Frank Martin Rd, Suite 103, Shelbyville, TN 37160-7194 Ph: (931) 684-4074 |
William Lee Russell, MD Surgery Medicare: Medicare Enrolled Practice Location: 120 Frank Martin Rd, Suite 101, Shelbyville, TN 37160 Phone: 931-685-0986 Fax: 931-685-0988 |