| Go MD USA LLC | |
|
3385 Airways Blvd Ste 201 Memphis TN 38116-3808 | |
| (833) 546-6387 | |
| Not Available |
| Full Name | Go MD USA LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 3385 Airways Blvd Ste 201, Memphis, Tennessee |
| Authorized Official Name and Position | Apollo Arcallana (PRESIDENT) |
| Authorized Official Contact | 8335466387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Go MD USA LLC 3385 Airways Blvd Ste 201 Memphis TN 38116-3808 Ph: (833) 546-6387 | Go MD USA LLC 3385 Airways Blvd Ste 201 Memphis TN 38116-3808 Ph: (833) 546-6387 |
| NPI Number | 1467276550 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Medicare PECOS PAC ID | 2961987003 |
|---|---|
| Medicare Enrollment ID | O20260326003554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467276550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Gerald S Stipanuk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669459905 PECOS PAC ID: 1951343169 Enrollment ID: I20050527000366 |
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