| Mary Nell Phillips, APN | |
|
7945 Wolf River Blvd, Germantown, TN 38138-1762 | |
| (901) 683-0055 | |
| (901) 685-2969 |
| Full Name | Mary Nell Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7945 Wolf River Blvd, Germantown, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164414504 | NPI | - | NPPES |
| 06429007 | Medicaid | MS | |
| 150945758 | Medicaid | AR | |
| 3909463 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN5236 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A810241 (Mississippi) | Secondary |
| Entity Name | Baptist Cancer Center Physicians Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558640458 PECOS PAC ID: 6406027853 Enrollment ID: O20110915000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Nell Phillips, APN 7714 Poplar Ave. Suite 200, Attn: Credentialing, Germantown, TN 38138-3941 Ph: (901) 683-0055 | Mary Nell Phillips, APN 7945 Wolf River Blvd, Germantown, TN 38138-1762 Ph: (901) 683-0055 |
Lisa D Beasley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138 Phone: 901-414-0017 | |
Dakota Doss, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7465 Poplar Ave Ste 102, Germantown, TN 38138 Phone: 901-853-6428 Fax: 901-853-6554 | |
Brenda S Cole, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7460 Wolf River Boulevard, The Sutherland Cardiology Clinic, P. C., Germantown, TN 38138 Phone: 901-763-0200 Fax: 901-260-1713 | |
Mrs. Mary K Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7715 Wolf River Blvd, Germantown, TN 38138 Phone: 901-328-6031 Fax: 901-328-6035 | |
Cynthia Denise Bedford, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7691 Poplar Ave, Germantown, TN 38138 Phone: 901-516-1290 Fax: 901-516-1220 | |
Ashley Marsh, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138 Phone: 901-755-5300 Fax: 901-756-0196 | |
Joshua Choate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 S Germantown Rd, Germantown, TN 38138 Phone: 901-275-3300 |