Dr Brett Bienville Tisdale, MD | |
1017 Delaware Ave, Mccomb, MS 39648-3827 | |
(601) 250-1122 | |
(601) 250-0290 |
Full Name | Dr Brett Bienville Tisdale |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 31 Years |
Location | 1017 Delaware Ave, Mccomb, 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 |
---|---|---|---|
1699754572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 13987 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Statcare Pllc | 5799764965 | 9 |
Entity Name | Statcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174579338 PECOS PAC ID: 5799764965 Enrollment ID: O20040720000687 |
Mailing Address | Practice Location Address |
---|---|
Dr Brett Bienville Tisdale, MD 1017 Delaware Ave, Mccomb, MS 39648-3827 Ph: (601) 250-1122 | Dr Brett Bienville Tisdale, MD 1017 Delaware Ave, Mccomb, MS 39648-3827 Ph: (601) 250-1122 |
Dr. Thomas Charles Evans Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1023 Hillshire Dr, Mccomb, MS 39648 Phone: 601-249-0943 | |
Dr. Julius Keith Speed, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 Rawls Dr Ste 600, Mccomb, MS 39648 Phone: 601-249-4415 Fax: 601-249-4474 | |
Keith Thomas Schwager, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1382 | |
Clifton Dale Williams, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1017 Delaware Ave, Mccomb, MS 39648 Phone: 601-250-1122 | |
Dr. Brett Ferman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-2701 Fax: 601-249-2226 | |
Richard Scott Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1382 Fax: 601-249-1751 | |
Dr. Scott Farr Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1017 Delaware Ave, Mccomb, MS 39648 Phone: 601-250-1122 Fax: 601-250-0290 |