DR. RENAE WOLLMAN MD
NPI 1902548407
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 13, 2022PECOS Enrolled
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, MEMPHIS, TN 38163(901) 448-7635 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Renae Wollman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENAE WOLLMAN MD (NPI 1902548407) is an individual student in an organized health care education/training program in Memphis, Tennessee, licensed in Tennessee (390200000X) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902548407
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. RENAE WOLLMANCredential: MD
Location AddressUNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447Memphis, TN 38163-0001
Mailing AddressUniversity Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · (901) 448-7635
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1902548407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TN · 390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447, Memphis, TN 38163

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Renae Wollman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Neurological Surgery
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902548407, enumerated as an "individual" on April 13, 2022.

The provider is located at UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447 MEMPHIS, TN 38163 and the phone number is (901) 448-7635.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.