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JESSE M WESBERRY MD PSC NPI 1215157003


NPI Information

NPI: 1215157003
Provider Name: JESSE M WESBERRY MD PSC

Doing Business As: WESBERRY OPTICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2900 S PERKINS RD
MEMPHIS, TN
ZIP 38118
Phone: (901) 362-3100
Get Directions

JESSE M WESBERRY MD PSC is a durable medical equipment medical supplies in Memphis, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JESSE M WESBERRY MD PSC NPI is 1215157003. The provider is registered as an organization entity type.
The provider Is Doing Business As Wesberry Optical.

The provider's business location address is:

2900 S PERKINS RD
MEMPHIS, TN
ZIP 38118-237
Phone: (901) 362-3100
Fax: (901) 362-3372

The provider's authorized official is Mary Lee Wesberry .
The authorized official title is Vice President/office Manger and has the following contact phone number (901) 362-3100.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesMD13481TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10431972OTHERTENNESSEEHEALTHSPRING ID#
2=========OTHERTENNESSEETAX ID# FOR MISC INS CO
3A80523MEDICARE UPINTENNESSEE
43009903MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEINDIVIDUAL PROVIDER #
51304430001MEDICARE NSC
6181093048MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEINDIVIDUAL RAILROAD #
7490000574MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEASC RAILROAD #
83287121MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEASC PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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