| Phillip Dewayne Waldrup, MD | |
|
8945 Claiborne Farm Dr, Germantown, TN 38138-8244 | |
| (901) 748-0468 | |
| Not Available |
| Full Name | Phillip Dewayne Waldrup |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 8945 Claiborne Farm Dr, Germantown, 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 |
|---|---|---|---|
| 1619917275 | NPI | - | NPPES |
| 133314001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0000028438 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olive Branch Emergency Physicians Llc | 9335598739 | 25 |
| Entity Name | Carr, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548677610 PECOS PAC ID: 1850512153 Enrollment ID: O20160707000686 |
| Entity Name | Olive Branch Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730969734 PECOS PAC ID: 9335598739 Enrollment ID: O20231211002611 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Dewayne Waldrup, MD 8945 Claiborne Farm Dr, Germantown, TN 38138-8244 Ph: () - | Phillip Dewayne Waldrup, MD 8945 Claiborne Farm Dr, Germantown, TN 38138-8244 Ph: (901) 748-0468 |
Gina Marie Lucchesi, APRN, FNP-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 | |
Dr. Justin Anthony May, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8060 Wolf River Blvd, Germantown, TN 38138 Phone: 901-271-1000 Fax: 901-271-4187 | |
Dr. Cassandra D Howard, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6970 | |
Dr. Darren Lemar Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1695 Neshoba Trace Cv, Germantown, TN 38138 Phone: 731-445-9999 | |
Dr. Benjamin David Bowman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1920 Hunters Hill Dr, Germantown, TN 38138 Phone: 901-496-9787 | |
Dr. Timothy E Long, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-6970 | |
Dr. Joseph S Fahhoum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2034 Exeter Rd Ste 1, Germantown, TN 38138 Phone: 901-202-4100 Fax: 901-202-4100 |