Individual ProviderAmy Elise TannerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address895 S Cooper St, Memphis, TN 38104-5604(901) 498-9126PECOS EnrollmentThis provider is enrolled in PECOS as AMY TANNER.Based on the most recent information from CMS, provider Amy Elise Tanner is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386733608Provider TypeIndividualFull NameTanner, Amy EliseTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date10/12/2006Last Updated8/20/2025Contact InformationPractice LocationPractice Address895 S Cooper St, Memphis, TN 38104-5604Phone(901) 498-9126FaxUnlisted FaxMailing LocationMailing Address895 S Cooper St, Memphis, TN 38104-5604Phone(901) 498-9126Fax(901) 746-8269Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6397Tennessee