| Iris Wound Care, Pc | |
|
9019 Overlook Blvd Ste C1b Brentwood TN 37027-2737 | |
| (615) 274-9767 | |
| (833) 450-4801 |
| Full Name | Iris Wound Care, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9019 Overlook Blvd Ste C1b, Brentwood, Tennessee |
| Authorized Official Name and Position | Joel Parker (OWNER) |
| Authorized Official Contact | 2252847336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Wound Care, Pc 9019 Overlook Blvd Ste C1b Brentwood TN 37027-2737 Ph: (615) 274-9767 | Iris Wound Care, Pc 9019 Overlook Blvd Ste C1b Brentwood TN 37027-2737 Ph: (615) 274-9767 |
| NPI Number | 1568273605 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 08/19/2025 |
| Medicare PECOS PAC ID | 1850817354 |
|---|---|
| Medicare Enrollment ID | O20250428003358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568273605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Joel Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326211012 PECOS PAC ID: 9537295316 Enrollment ID: I20100331000579 |
| Provider Name | Benjamin Dehaven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497928824 PECOS PAC ID: 6901936244 Enrollment ID: I20100611000618 |
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