Phillip Dewayne Waldrup, MD - Medicare Emergency Medicine in Germantown, TN

Phillip Dewayne Waldrup, MD is a medicare enrolled "Emergency Medicine" physician in Germantown, Tennessee. His current practice location is 8945 Claiborne Farm Dr, Germantown, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 748-0468.

Phillip Dewayne Waldrup is licensed to practice in Tennessee (license number 0000028438) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619917275.

Contact Information

Phillip Dewayne Waldrup, MD
8945 Claiborne Farm Dr,
Germantown, TN 38138-8244
(901) 748-0468
Not Available



Physician's Profile

Full NamePhillip Dewayne Waldrup
GenderMale
SpecialityEmergency Medicine
Location8945 Claiborne Farm Dr, Germantown, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619917275
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8123002672
  • Enrollment ID: I20040614001326

Medical Identifiers

Medical identifiers for Phillip Dewayne Waldrup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619917275NPI-NPPES
133314001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 0000028438 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Phillip Dewayne Waldrup allows following entities to bill medicare on his behalf.
Entity NameHardin Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972850477
PECOS PAC ID: 2769633148
Enrollment ID: O20121112000554

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Entity NameMethodist University Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023899291
PECOS PAC ID: 4981052719
Enrollment ID: O20231204003274

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Entity NameGermantown Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518747526
PECOS PAC ID: 7214386812
Enrollment ID: O20231207003122

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Entity NameMethodist North Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801677083
PECOS PAC ID: 0941659247
Enrollment ID: O20231212002784

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Entity NameMethodist South Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609657873
PECOS PAC ID: 6406205608
Enrollment ID: O20231213002628

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phillip Dewayne Waldrup is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phillip Dewayne Waldrup, MD
8945 Claiborne Farm Dr,
Germantown, TN 38138-8244

Ph: () -
Phillip Dewayne Waldrup, MD
8945 Claiborne Farm Dr,
Germantown, TN 38138-8244

Ph: (901) 748-0468

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Emergency Medicine Doctors in Germantown, TN

Gina Marie Lucchesi, APRN, FNP-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7600 Wolf River Blvd, Germantown, TN 38138
Phone: 901-755-5300    
Dr. Justin Anthony May, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8060 Wolf River Blvd, Germantown, TN 38138
Phone: 901-271-1000    Fax: 901-271-4187
Dr. Cassandra D Howard, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 7691 Poplar Ave, Germantown, TN 38138
Phone: 901-516-6970    
Dr. Darren Lemar Johnson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1695 Neshoba Trace Cv, Germantown, TN 38138
Phone: 731-445-9999    
Dr. Benjamin David Bowman, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1920 Hunters Hill Dr, Germantown, TN 38138
Phone: 901-496-9787    
Dr. Timothy E Long, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 7691 Poplar Ave, Germantown, TN 38138
Phone: 901-516-6970    
Dr. Joseph S Fahhoum, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2034 Exeter Rd Ste 1, Germantown, TN 38138
Phone: 901-202-4100    Fax: 901-202-4100

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