| Preventivemd, PLLC | |
|
1407 Union Ave Ste 305 Memphis TN 38104-3615 | |
| (901) 609-2444 | |
| Not Available |
| Full Name | Preventivemd, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1407 Union Ave Ste 305, Memphis, Tennessee |
| Authorized Official Name and Position | Todd V Robinson (MEMBER) |
| Authorized Official Contact | 9012186771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preventivemd, PLLC 1407 Union Ave Ste 305 Memphis TN 38104-3615 Ph: (901) 609-2444 | Preventivemd, PLLC 1407 Union Ave Ste 305 Memphis TN 38104-3615 Ph: (901) 609-2444 |
| NPI Number | 1003648890 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 8820523004 |
|---|---|
| Medicare Enrollment ID | O20241125002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003648890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Todd V Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831291533 PECOS PAC ID: 2264475680 Enrollment ID: I20050607000698 |
| Provider Name | Jeffery N Hoover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447271291 PECOS PAC ID: 8820170814 Enrollment ID: I20080130000089 |
| Provider Name | Robert F Kulinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700889649 PECOS PAC ID: 5193789907 Enrollment ID: I20100310000286 |
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