| Allen K Raich Dpm Pc | |
|
1121 Poplar View Ln N Ste 2, Collierville, TN 38017-9339 | |
| (901) 853-3018 | |
| (901) 853-3015 |
| Full Name | Allen K Raich Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1121 Poplar View Ln N Ste 2, Collierville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366549412 | NPI | - | NPPES |
| 3731576 | Medicaid | TN | |
| 4106735 | Other | TN | BCBS OF TN |
| 900276068 | Other | TN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | TNDPM228 (Tennessee) | Primary |
| Provider Name | Allen K Raich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083711105 PECOS PAC ID: 8426072851 Enrollment ID: I20060125000753 |
| Mailing Address | Practice Location Address |
|---|---|
| Allen K Raich Dpm Pc 1121 Poplar View Ln N Ste 2, Collierville, TN 38017-9339 Ph: (901) 853-3018 | Allen K Raich Dpm Pc 1121 Poplar View Ln N Ste 2, Collierville, TN 38017-9339 Ph: (901) 853-3018 |
Allen K Raich, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1121 Poplar View Ln N Ste 2, Collierville, TN 38017 Phone: 901-853-3015 Fax: 901-853-3015 | |
Jerry H. Langford Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Halle Park Cir, Suite101, Collierville, TN 38017 Phone: 901-853-1574 Fax: 901-861-0839 |