Charles Edward Wall Jr, MD | |
102 Doctors Park, Starkville, MS 39759 | |
(662) 615-3800 | |
(662) 615-3807 |
Full Name | Charles Edward Wall Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 22 Years |
Location | 102 Doctors Park, Starkville, 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 |
---|---|---|---|
1073717955 | NPI | - | NPPES |
511-65666 | Other | AL | BCBS |
102I029294 | Other | AL | MEDICARE |
175531 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 19801 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Och Regional Medical Center | Starkville, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Och Center For Breast Health | 3476577545 | 2 |
Entity Name | Och Center For Breast Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396807814 PECOS PAC ID: 3476577545 Enrollment ID: O20060117000786 |
Mailing Address | Practice Location Address |
---|---|
Charles Edward Wall Jr, MD 400 Hospital Rd, Starkville, MS 39759-2163 Ph: (662) 615-3800 | Charles Edward Wall Jr, MD 102 Doctors Park, Starkville, MS 39759 Ph: (662) 615-3800 |
Roger C Clapp Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Doctors Park, Starkville, MS 39759 Phone: 662-324-1310 Fax: 662-324-7148 | |
Dr. Daryl P Guest, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 Doctors Park, Starkville, MS 39759 Phone: 662-324-1310 Fax: 662-324-7148 | |
Dr. James Travis Methvin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 102 Doctors Park, Starkville, MS 39759 Phone: 662-615-3781 Fax: 662-615-3786 | |
Dr. Thomas Steve Parvin, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 401 Hospital Rd., Starkville, MS 39759 Phone: 662-615-3800 Fax: 662-615-3807 |