Iac Associates Pllc | |
6401 Poplar Ave Ste 500 Memphis TN 38119-4808 | |
(901) 746-9438 | |
(941) 746-9331 |
Full Name | Iac Associates Pllc |
---|---|
Speciality | Family Medicine |
Location | 6401 Poplar Ave Ste 500, Memphis, Tennessee |
Authorized Official Name and Position | Steve Armond (CFO) |
Authorized Official Contact | 6159214475 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Iac Associates Pllc 205 Reidhurst Ave Nashville TN 37203-1618 Ph: (615) 921-4447 | Iac Associates Pllc 6401 Poplar Ave Ste 500 Memphis TN 38119-4808 Ph: (901) 746-9438 |
NPI Number | 1487126272 |
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Provider Enumeration Date | 12/18/2018 |
Last Update Date | 09/06/2023 |
Certification Date | 09/06/2023 |
Medicare PECOS PAC ID | 5496181133 |
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Medicare Enrollment ID | O20200128003261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487126272 | NPI | - | NPPES |
Q048108 | Medicaid | TN | |
03401509 | Medicaid | MS |
Provider Name | Shawn Hamm |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1821330895 PECOS PAC ID: 2264651397 Enrollment ID: I20171024003089 |
Provider Name | Jamie Pettit |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1003371667 PECOS PAC ID: 6002242245 Enrollment ID: I20200205003172 |
Provider Name | Richard Hayward |
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Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1912391319 PECOS PAC ID: 1153634076 Enrollment ID: I20200623003117 |
Provider Name | David Stern |
---|---|
Provider Type | Practitioner - Addiction Medicine |
Provider Identifiers | NPI Number: 1255953683 PECOS PAC ID: 0840365821 Enrollment ID: I20200624003364 |
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