MEDICARE: JOANNE FILCHOCK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	013475	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00104599	OTHER	TN	MEDICARE - RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	602003026	OTHER	TN	CARITEN
2	100010382	OTHER	TN	PHP TNCARE
3	4034566	OTHER	TN	AETNA
4	TN0135	OTHER	TN	UHC/JD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1718353	OTHER	TN	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	4076651	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1477521037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE FILCHOCK MD

Provider Business Mailing Address
First Line	:	2595 CENTRAL AVE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38104-5905
Country	:	US
Telephone Number	:	901-260-8500
Fax Number	:	901-260-8598

Provider Business Practice Location Address
First Line	:	969 FRAYSER BLVD
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38127-5977
Country	:	US
Telephone Number	:	901-701-2540
Fax Number	:	901-271-6249

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	05/10/2017

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Directions to “ JOANNE FILCHOCK MD” Practice Location

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