Vanessa Mckenzie, MD | |
8990 Germantown Rd, Olive Branch, MS 38654-8532 | |
(662) 893-1160 | |
(662) 893-1166 |
Full Name | Vanessa Mckenzie |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 8990 Germantown Rd, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952332595 | NPI | - | NPPES |
110108905 | Other | TN | RAILROAD MEDICARE |
00126757 | Medicaid | MS | |
3031027 | Other | TN | BLUE CROSS BLUE SHIELD TN |
5001948 | Other | TN | TLC |
3093293 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A45867 (California) | Secondary |
207R00000X | Internal Medicine | 25678 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 17796 (Mississippi) | Primary |
Entity Name | Sanitas Medical Center Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942839147 PECOS PAC ID: 5193143287 Enrollment ID: O20200922003239 |
Mailing Address | Practice Location Address |
---|---|
Vanessa Mckenzie, MD 4899 E Shore Dr, Memphis, TN 38109-6130 Ph: (901) 412-4345 | Vanessa Mckenzie, MD 8990 Germantown Rd, Olive Branch, MS 38654-8532 Ph: (662) 893-1160 |
Javed Abdullah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, 5th Floor, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002 | |
Dr. Shailesh Mansukh Patel, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Jawwad Yusuf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd Fl 5, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002 | |
Dakshin Gangadharamurthy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Wendy Michelle Ballenger, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7148 Kerr Street Place, Suite 110, Olive Branch, MS 38654 Phone: 662-222-6724 Fax: 901-350-5024 | |
James Riddell Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
Sheryl Ingram, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3195 Threatt Rd, Olive Branch, MS 38654 Phone: 901-331-2591 |