MEDICARE: DR. ANA KATARINA PALMIERI M.D.

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	225100000X	Physical Therapist	1717	TN
2	207X00000X	Orthopaedic Surgery Physician	29991	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200046147	OTHER		RAILROAD MEDICARE
5	200046147	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	612005500	OTHER		WORKERS COMP
4	7130040	OTHER		AETNA HMO
6	4049550	OTHER	TN	BCBST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	411370497A	OTHER	TN	ADVANCED HEALTH SYSTEMS
9	8381196	OTHER		CIGNA

General Provider Information

NPI Number	:	1972562254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA KATARINA PALMIERI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 9616
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-9616
Country	:	US
Telephone Number	:	901-850-1150
Fax Number	:	901-850-1102

Provider Business Practice Location Address
First Line	:	472 W POPLAR AVE
Second Line	:	200
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2538
Country	:	US
Telephone Number	:	901-850-1150
Fax Number	:	901-850-1102

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	11/01/2017

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