| Customized Medical Needs | |
|
2129 West Street Suite 224 Germantown TN 38138-3837 | |
| (866) 563-7772 | |
| (901) 255-0758 |
| Full Name | Customized Medical Needs |
|---|---|
| Speciality | Occupational Therapist |
| Location | 2129 West Street, Germantown, Tennessee |
| Authorized Official Name and Position | Christi Alexander Davidson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8665637772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Customized Medical Needs 2129 West Street Suite 224 Germantown TN 38138-3837 Ph: (866) 563-7772 | Customized Medical Needs 2129 West Street Suite 224 Germantown TN 38138-3837 Ph: (866) 563-7772 |
| NPI Number | 1124361688 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 06/13/2014 |
| Medicare PECOS PAC ID | 8921249517 |
|---|---|
| Medicare Enrollment ID | O20130724000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124361688 | NPI | - | NPPES |
| 1531379 | Medicaid | TN | |
| 103G700897 | Other | TN | MEDICARE (PTAN) |
| Provider Name | Darl V Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275538977 PECOS PAC ID: 5294718474 Enrollment ID: I20051222000714 |
| Provider Name | Justin T Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821100397 PECOS PAC ID: 0042317166 Enrollment ID: I20070523000620 |
| Provider Name | Kendrick Joyce |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801949847 PECOS PAC ID: 2466518956 Enrollment ID: I20090309000259 |
| Provider Name | Theresa Lynette Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124045638 PECOS PAC ID: 6002814241 Enrollment ID: I20120131000410 |
Aba Memphis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1687 Cordova Rd, Germantown, TN 38138 Phone: 901-461-7222 | |
Wholeheart Women's Christian Counseling Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8570 Cordes Cir Ste 10, Germantown, TN 38139 Phone: 901-483-3660 Fax: 901-221-8380 | |
Firefly Therapy Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Judicial Dr Ste 111, Germantown, TN 38138 Phone: 901-305-9565 | |
Optum Behavioral Care Of North Carolina, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2262 S Germantown Rd, Germantown, TN 38138 Phone: 901-153-4300 | |
Germantown Private Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Capital Dr, The Corporate Center, Germantown, TN 38138 Phone: 901-730-0575 Fax: 901-730-0389 | |
The Medical Psychology Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7655 Poplar Ave, Suite 365, Germantown, TN 38138 Phone: 901-751-3571 Fax: 901-751-3572 |