| Madison Physician Group Inc | |
|
104 W Court Ave Selmer TN 38375-2102 | |
| (833) 713-8349 | |
| (731) 660-2121 |
| Full Name | Madison Physician Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 104 W Court Ave, Selmer, Tennessee |
| Authorized Official Name and Position | Ira Keith Ellis (OWNER) |
| Authorized Official Contact | 7316602665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Physician Group Inc 104 W Court Ave Selmer TN 38375-2102 Ph: (833) 713-8349 | Madison Physician Group Inc 104 W Court Ave Selmer TN 38375-2102 Ph: (833) 713-8349 |
| NPI Number | 1770256836 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/26/2021 |
| Medicare PECOS PAC ID | 5496153249 |
|---|---|
| Medicare Enrollment ID | O20211007002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770256836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ira K Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922005388 PECOS PAC ID: 5496734766 Enrollment ID: I20040719001453 |
| Provider Name | Leona Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336738665 PECOS PAC ID: 1052719671 Enrollment ID: I20211013000650 |
Trinity Medical Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 832 Mulberry Ave, Selmer, TN 38375 Phone: 731-434-0200 Fax: 731-434-0203 | |
Mitchell Eye Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 699 E Poplar Ave, Selmer, TN 38375 Phone: 731-610-7317 | |
Premier Internal Medicine And Pediatrics, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Federal Dr, Selmer, TN 38375 Phone: 731-506-6995 Fax: 731-506-6654 | |
Medical Associates Of Mcnairy Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Physicians Dr, Selmer, TN 38375 Phone: 731-645-6777 Fax: 731-646-1333 | |
Apex Health And Wellness Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 W Court Ave, Selmer, TN 38375 Phone: 731-437-2720 Fax: 731-434-0388 | |
Mcnairy Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Poplar Ave, Selmer, TN 38375 Phone: 731-646-0181 | |
Family Clinic Of Selmer, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 832 Mulberry Ave Ste B, Selmer, TN 38375 Phone: 731-434-0201 Fax: 731-434-0203 |