| Bmg Family Physicians Group Foundation, Inc | |
|
2859 Van Leer Dr Memphis TN 38133-4935 | |
| (901) 751-5513 | |
| (901) 751-5540 |
| Full Name | Bmg Family Physicians Group Foundation, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2859 Van Leer Dr, Memphis, Tennessee |
| Authorized Official Name and Position | Gregory Duckett (VICE PRESIDENT) |
| Authorized Official Contact | 9012274068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmg Family Physicians Group Foundation, Inc 2859 Van Leer Dr Memphis TN 38133-4935 Ph: (901) 751-5513 | Bmg Family Physicians Group Foundation, Inc 2859 Van Leer Dr Memphis TN 38133-4935 Ph: (901) 751-5513 |
| NPI Number | 1578804142 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 08/21/2013 |
| Medicare PECOS PAC ID | 1557508983 |
|---|---|
| Medicare Enrollment ID | O20130502000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578804142 | NPI | - | NPPES |
| Provider Name | Jay D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316930944 PECOS PAC ID: 0941284483 Enrollment ID: I20040614001242 |
| Provider Name | Derek Mullinix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689628323 PECOS PAC ID: 6305733908 Enrollment ID: I20040921000756 |
| Provider Name | Michael C Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932192556 PECOS PAC ID: 9739142647 Enrollment ID: I20041110001071 |
| Provider Name | Michael J Heck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154379659 PECOS PAC ID: 3779589106 Enrollment ID: I20061009000027 |
| Provider Name | Susan D Ruch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609035088 PECOS PAC ID: 3678631975 Enrollment ID: I20081015000020 |
| Provider Name | Michele Evyan Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154314771 PECOS PAC ID: 8325255342 Enrollment ID: I20101015000329 |
| Provider Name | Charles Jackson Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245223866 PECOS PAC ID: 1557302122 Enrollment ID: I20101021000849 |
| Provider Name | Ramune Montvilaite Filipcic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831182526 PECOS PAC ID: 3678766706 Enrollment ID: I20101021001080 |
| Provider Name | Joseph Kenneth Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598758120 PECOS PAC ID: 0143331710 Enrollment ID: I20101022000375 |
| Provider Name | Melanie Landrum Woodall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346233913 PECOS PAC ID: 4789795352 Enrollment ID: I20101022000637 |
| Provider Name | Jose Gabriel Ongsingco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831354935 PECOS PAC ID: 7618140260 Enrollment ID: I20111027000429 |
| Provider Name | Quaneshia R Farris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073856514 PECOS PAC ID: 7113165366 Enrollment ID: I20130529000439 |
| Provider Name | Heather H Polmonari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699017962 PECOS PAC ID: 9234378886 Enrollment ID: I20130612000184 |
| Provider Name | Julian L Venegas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659364545 PECOS PAC ID: 2264410307 Enrollment ID: I20130716000488 |
| Provider Name | Alisha K Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649594219 PECOS PAC ID: 7214175785 Enrollment ID: I20131030001407 |
| Provider Name | Heather J Kindrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275964645 PECOS PAC ID: 0941431100 Enrollment ID: I20140401001329 |
| Provider Name | Brittany A Labrador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417388893 PECOS PAC ID: 3173755006 Enrollment ID: I20140408001803 |
| Provider Name | Racquel D Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841589900 PECOS PAC ID: 2961640503 Enrollment ID: I20141022001273 |
| Provider Name | James C Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285019380 PECOS PAC ID: 6709194509 Enrollment ID: I20150928002429 |
| Provider Name | Jason Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480565 PECOS PAC ID: 2567688062 Enrollment ID: I20160614000899 |
| Provider Name | Tabitha Manero Marek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245644814 PECOS PAC ID: 4183948078 Enrollment ID: I20181008003268 |
| Provider Name | Mauro N Amendola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255794871 PECOS PAC ID: 6305116583 Enrollment ID: I20230518000300 |
| Provider Name | Thomas Bateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649806613 PECOS PAC ID: 8325468002 Enrollment ID: I20231017002194 |
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