Lendermon Sports Medicine Plc is a medicare enrolled "Family Medicine - Sports Medicine" provider in Collierville, Tennessee. Their current practice location is
9950 Crooked Creek Drive, Collierville, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(901) 850-5756.
Lendermon Sports Medicine Plc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lendermon Sports Medicine Plc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1952624041.
Healthcare Provider's Profile
| Full Name | Lendermon Sports Medicine Plc |
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| Type | Facility |
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| Speciality | Family Medicine - Sports Medicine |
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| Location | 9950 Crooked Creek Drive, Collierville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952624041
- Provider Enumeration Date: 03/04/2010
- Last Update Date: 06/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648309625
- Enrollment ID: O20100601000463
Medical Identifiers
Medical identifiers for Lendermon Sports Medicine Plc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952624041 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lendermon Sports Medicine Plc acts as a billing entity for following providers:
| Provider Name | Laura N Lendermon |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1053326876
PECOS PAC ID: 1658339189
Enrollment ID: I20100312000091 |
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| Provider Name | Benjamin M Petty |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1518252105
PECOS PAC ID: 8628216694
Enrollment ID: I20151117001943 |
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| Provider Name | John Walker Gardner |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1427509785
PECOS PAC ID: 6305110271
Enrollment ID: I20170918000196 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lendermon Sports Medicine Plc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Lendermon Sports Medicine Plc
9950 Crooked Creek Rd,
Collierville, TN 38017-0881
Ph: () - | Lendermon Sports Medicine Plc
9950 Crooked Creek Drive,
Collierville, TN 38017
Ph: (901) 850-5756 |
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