| Primehealth Medical Center, Pc | |
|
6637 Summer Knoll Cir Suite 101 Bartlett TN 38134-2875 | |
| (901) 372-5260 | |
| (901) 386-8726 |
| Full Name | Primehealth Medical Center, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6637 Summer Knoll Cir, Bartlett, Tennessee |
| Authorized Official Name and Position | Olu Faleye (PRESIDENT/CEO) |
| Authorized Official Contact | 9013725260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primehealth Medical Center, Pc 6637 Summer Knoll Cir Suite 101 Bartlett TN 38134-2875 Ph: (901) 372-5260 | Primehealth Medical Center, Pc 6637 Summer Knoll Cir Suite 101 Bartlett TN 38134-2875 Ph: (901) 372-5260 |
| NPI Number | 1104915982 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 7012802465 |
|---|---|
| Medicare Enrollment ID | O20040216001090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104915982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Olugbenga S Faleye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598717738 PECOS PAC ID: 8628963071 Enrollment ID: I20040216001124 |
| Provider Name | Cecilia D Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104823020 PECOS PAC ID: 4688635196 Enrollment ID: I20041019000710 |
| Provider Name | Santiago J Aguilar Duenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897553 PECOS PAC ID: 8527230846 Enrollment ID: I20111011000282 |
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