DMC-Memphis LLC
A Medicare group practice based in Memphis, TN: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143121186), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0143121186
- Provider type
- Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
- Enrolled in
- TN
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060918000417 | TN | Part B Supplier - Clinic/Group Practice | 1629296058 |
| O20040430000177 | TN | Part A Provider - Hospital | 1629296058 |
| O20220302002258 | TN | Part B Supplier - Opioid Treatment Program (Otp) | 1689295719 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
DMC-Memphis, LLC
dba Delta Comprehensive Treatment Center
- Methadone Clinic
- Memphis, TN
- NPI 1689295719
-
DMC-Memphis, LLC
dba Delta Specialty Hospital
- General Acute Care Hospital
- Memphis, TN
- NPI 1437188216
Practice locations
- Memphis, TN3
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).
-
Cynthia Kelso, FNP
- Family Nurse Practitioner
- Hernando, MS
- NPI 1841879103
-
Juana Adkins Reese, NP-C
- Nurse Practitioner
- Collierville, TN
- NPI 1760401426
-
Allyson D Stewart, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1225685142
-
Anna Elizabeth Willis, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Cordova, TN
- NPI 1356021638
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.