Andy Wade Holley, DO | |
703 Alcorn Dr Ste 102, Corinth, MS 38834-9302 | |
(662) 286-2522 | |
Not Available |
Full Name | Andy Wade Holley |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 703 Alcorn Dr Ste 102, Corinth, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700020005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5474 (Tennessee) | Secondary |
208600000X | Surgery | 23290 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Magnolia Regional Health Center | Corinth, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Magnolia Surgical Group | 6204825755 | 2 |
Entity Name | Magnolia Regional Health Center - Home Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699756445 PECOS PAC ID: 9739078460 Enrollment ID: O20040311001091 |
Entity Name | Magnolia Surgical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134142284 PECOS PAC ID: 6204825755 Enrollment ID: O20040510000811 |
Entity Name | Ut Methodist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427317908 PECOS PAC ID: 2769623669 Enrollment ID: O20140425001228 |
Entity Name | Magnolia Wound & Hyperbaric Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588102826 PECOS PAC ID: 5890071393 Enrollment ID: O20170418001791 |
Mailing Address | Practice Location Address |
---|---|
Andy Wade Holley, DO 1710 Fieldstone Farms Rd, Corinth, MS 38834-7561 Ph: (662) 678-6202 | Andy Wade Holley, DO 703 Alcorn Dr Ste 102, Corinth, MS 38834-9302 Ph: (662) 286-2522 |
Mathew Bowen Johnson Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Alcorn Dr, Suite 102, Corinth, MS 38834 Phone: 662-286-2522 Fax: 662-293-4288 | |
Dr. Benjamin Daniel Pettigrew, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Alcorn Dr Ste 109, Corinth, MS 38834 Phone: 662-286-2522 | |
Robert P Mathis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Ste 210, Corinth, MS 38834 Phone: 662-284-9910 Fax: 662-284-9970 | |
Dr. James D. Edmonson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2429 Proper St, Corinth, MS 38834 Phone: 662-286-3735 Fax: 662-286-3721 |