Look up the most recent NPI and PECOS records

Dept Of Veterans Affairs Medical Center

Social Worker

Behavioral Health & Social Service Providers

1030 Jefferson Ave, Memphis, TN 38104-2127

PECOS Enrollment

Based on the most recent information from CMS, provider Dept Of Veterans Affairs Medical Center does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699887273
Provider Type
Organization
Full Name
Dept Of Veterans Affairs Medical Center

Subpart
No
Enumeration Date
8/31/2006
Last Updated
8/8/2008

Contact Information

Practice Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 523-8990

(901) 577-7427

Mailing Location

1030 Jefferson Ave, Memphis, TN 38104-2127

(901) 523-8990

(901) 577-7427

Authorized Official

Range, Rtia B (Supervisory Social Worker)

(901) 523-8990

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1077 Tennessee

Dept Of Veterans Affairs Medical Center

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Williams, David Greenhill

Dill, Sarah Jo Ann

Williamson, Janiece

Stevenson, Jarvett

Dupree, Breisha

Macqueen, Mary Bailie-Keiter

Maiten, Renita

Nelson, Eleanor Crenshaw

Harris, Joma K

Billingsley, Alayne