Elbert E Hines Iii


Address: 3030 Walnut Grove Rd, Memphis, TN 38111-3508

Elbert E Hines Iii (NPI# 1801896881, PAC ID# 3274426093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1801896881
PAC ID by PECOS 3274426093
Professional Enrollment ID I20040615000325
Full Name Elbert E Hines Iii
Address 3030 Walnut Grove Rd
Memphis
TN 38111-3508
Gender M
Credential MD
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 1983
Primary Specialty FAMILY MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
440183 ST FRANCIS HOSPITAL
440228 SAINT FRANCIS BARTLETT MEDICAL CENTER
440049 METHODIST HEALTHCARE MEMPHIS HOSPITALS

Other Locations

Address Phone Organization
3030 Walnut Grove Rd, Memphis, TN 38111-3508

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_006_overall Coronary Artery Disease (CAD): Antiplatelet Therapy 100%
MIPS_EC_047_overall Care Plan 100%

Organization Information

Office Location

Street Address 3030 WALNUT GROVE RD
City MEMPHIS
State TN
Zip 38111-3508

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Jeffery S Warren Family Medicine Ut Regional One Physicians Inc 3109 Walnut Grove Rd, Memphis, TN 38111-3509
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Competitor

Search similar physicians

City MEMPHIS
Zip Code 38111
Specialty FAMILY MEDICINE
City + Specialty MEMPHIS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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