| Vivian Sze Ting Lo, DO | |
|
4250 Bethel Rd, Olive Branch, MS 38654-8737 | |
| (662) 932-9111 | |
| Not Available |
| Full Name | Vivian Sze Ting Lo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 4250 Bethel 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 |
|---|---|---|---|
| 1932424595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22451 (Mississippi) | Primary |
| 207R00000X | Internal Medicine | 2349 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 22451 (Mississippi) | Secondary |
| Entity Name | T M Carr Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992706097 PECOS PAC ID: 3375504913 Enrollment ID: O20041026000787 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Methodist University Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Entity Name | Germantown Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Entity Name | Methodist North Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Entity Name | Methodist South Emergency Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Sze Ting Lo, DO 695 Robertson Way, Hernando, MS 38632-2233 Ph: (870) 394-6430 | Vivian Sze Ting Lo, DO 4250 Bethel Rd, Olive Branch, MS 38654-8737 Ph: (662) 932-9111 |
Dr. Ajay Narayan Venkatanarayan, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4240 Bethel Rd Ste 201, Olive Branch, MS 38654 Phone: 901-763-0200 Fax: 901-761-4002 | |
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 | |
Charles H. Fraga, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 901-516-1290 Fax: 901-516-1220 | |
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 | |
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 |