Mordecia D Dickenson (NPI# 1629413091, PAC ID# 5496992612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629413091 |
| PAC ID by PECOS | 5496992612 |
| Professional Enrollment ID | I20130507000688 |
| Full Name | Mordecia D Dickenson |
| Organization Legal Name | LUNCEFORD FAMILY HEALTH CENTER P.C. |
| Address |
7865 Educators Ln Suite 300 Memphis TN 38133-8191 |
| Phone Number | 9013849920 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931165636 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7865 Educators Ln, Suite 300, Memphis, TN 38133-8191 | 9013849920 | LUNCEFORD FAMILY HEALTH CENTER P.C. |
| Organization Legal Name | LUNCEFORD FAMILY HEALTH CENTER P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aamina Shahid | Family Medicine | Lunceford Family Health Center P.C. | 7865 Educators Ln, Suite 300, Memphis, TN 38133-8191 |
| Street Address |
7865 EDUCATORS LN SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip | 38133-8191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aamina Shahid | Family Medicine | Lunceford Family Health Center P.C. | 7865 Educators Ln, Suite 300, Memphis, TN 38133-8191 |
| Maura C Bailey | Physical Therapy | Agilitas Usa Inc | 7865 Educators Ln, Suite 100, Memphis, TN 38133-8191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn M Barrom | Nurse Practitioner | 7424 Hwy 64, Suite 118, Bartlett, TN 38133 | |
| Christopher L Hendrix | Podiatry | 7400 Hwy 64, Bartlett, TN 38133 | |
| Blandine Francois | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Miranda Faith King Mcghee | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Joni Lea Bratton | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Leandra Peacock | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Lori Stepp | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Lauren Elise Rosenthall | Nurse Practitioner | The Little Clinic of Tennessee LLC | 7615 Us Hwy 70, Bartlett, TN 38133-2054 |
| Crystal Dinesse Deberry | Clinical Social Worker | Compassion Mental Health Inc | 7556 Us Hwy 70, Bartlett, TN 38133-2686 |
| Shannon Kimmel | Qualified Audiologist | Mid-south Ear, Nose, and Throat, P.C. | 7378 Yale Rd, Bartlett, TN 38133-3604 |
| Find all physicians in zip 38133 | |||
| City | MEMPHIS |
| Zip Code | 38133 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEMPHIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mordecia D Dickenson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.