| Bartlett Hospitalist Pllc | |
|
943 Whitney Ave Memphis TN 38127-7734 | |
| (901) 212-2579 | |
| (901) 358-9010 |
| Full Name | Bartlett Hospitalist Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 943 Whitney Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Mohamad Moughrabieh (SOLE MEMBER) |
| Authorized Official Contact | 9013580326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bartlett Hospitalist Pllc 943 Whitney Ave Memphis TN 38127-7734 Ph: (901) 358-0326 | Bartlett Hospitalist Pllc 943 Whitney Ave Memphis TN 38127-7734 Ph: (901) 212-2579 |
| NPI Number | 1366006801 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 6204224553 |
|---|---|
| Medicare Enrollment ID | O20211019002874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366006801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Mohamad K Moughrabieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063679827 PECOS PAC ID: 6406917269 Enrollment ID: I20090610000024 |
| Provider Name | Kelechi U Iwuji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548524861 PECOS PAC ID: 6709190465 Enrollment ID: I20150810000172 |
| Provider Name | Nastassia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861965667 PECOS PAC ID: 4688914252 Enrollment ID: I20190318001414 |
| Provider Name | Maegan Marie Lytle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902572951 PECOS PAC ID: 9638568090 Enrollment ID: I20211105001826 |
| Provider Name | Jessica M Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801511894 PECOS PAC ID: 9032580584 Enrollment ID: I20230120001980 |
| Provider Name | Chayce A Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861192858 PECOS PAC ID: 6204291271 Enrollment ID: I20230426000977 |
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