Lee R Paige Jr, LCSW | |
1654 E Union St, Greenville, MS 38703-3250 | |
(662) 335-5274 | |
(662) 378-3976 |
Full Name | Lee R Paige Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1654 E Union St, Greenville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508983602 | NPI | - | NPPES |
007970954 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C0049 (Mississippi) | Primary |
Entity Name | Delta Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
Mailing Address | Practice Location Address |
---|---|
Lee R Paige Jr, LCSW 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 | Lee R Paige Jr, LCSW 1654 E Union St, Greenville, MS 38703-3250 Ph: (662) 335-5274 |
Mary Sims-johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 Arnold Ave, Greenville, MS 38701 Phone: 800-632-6074 Fax: 866-341-7509 | |
Mr. Willie Andrew Pole Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 | |
Lynda Lavers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1654 E Union St, Greenville, MS 38703 Phone: 662-335-5274 Fax: 662-378-3976 |