| Mr Randall Williams, | |
|
8060 Wolf River Blvd, Germantown, TN 38138-1727 | |
| (901) 271-1000 | |
| (901) 271-4187 |
| Full Name | Mr Randall Williams |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 8060 Wolf River Blvd, Germantown, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013380013 | NPI | - | NPPES |
| 2884 | Other | TN | PA LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2884 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adoration Home Health Martin | Martin, TN | Home health agency |
| Tennessee Quality Care - Home Health | Parsons, TN | Home health agency |
| Baptist Memorial Hospital Union City | Union city, TN | Hospital |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| West Tennessee Healthcare Volunteer Hospital | Martin, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stern Cardiovascular Center, Pa | 2860390275 | 126 |
| Southeastern Physician Services Pc | 0042307852 | 591 |
| Stern Cardiovascular Foundation, Inc | 8123200540 | 111 |
| Entity Name | Stern Cardiovascular Center, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699790311 PECOS PAC ID: 2860390275 Enrollment ID: O20031223000177 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Stern Cardiovascular Foundation, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316242266 PECOS PAC ID: 8123200540 Enrollment ID: O20110310000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randall Williams, 8060 Wolf River Blvd, Germantown, TN 38138-1727 Ph: (901) 271-1000 | Mr Randall Williams, 8060 Wolf River Blvd, Germantown, TN 38138-1727 Ph: (901) 271-1000 |
Mrs. Stephanie Nicole Heinsch, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7655 Poplar Ave, Suite 350, Germantown, TN 38138 Phone: 901-761-2470 |
Claire C Ellender, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7655 Poplar Ave Ste 240, Germantown, TN 38138 Phone: 901-758-7970 Fax: 901-266-6425 |
Michella Glenna Douglas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 |
Mr. Chad M Brooks, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 Fax: 901-747-1001 |
Ashley Dowdy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7945 Wolf River Blvd, Germantown, TN 38138 Phone: 901-683-0055 Fax: 901-692-9606 |
Ms. Brooke Amanda Helms, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9067 Poplar Ave, Suite 109, Germantown, TN 38138 Phone: 901-522-6745 Fax: 901-522-6748 |
Mrs. Katherine Ann Chappell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7205 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-227-8950 Fax: 901-227-8951 |