Dr Charles R Purdy, MD | |
83 Old Mill Creek Rd, Enterprise, MS 39330-9649 | |
(601) 704-1020 | |
(601) 704-1021 |
Full Name | Dr Charles R Purdy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 23 Years |
Location | 83 Old Mill Creek Rd, Enterprise, 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 |
---|---|---|---|
1992773675 | NPI | - | NPPES |
07375770 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 18829 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 18829 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Services Of Meridian Inc | 7315285376 | 18 |
Entity Name | Anderson Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972720175 PECOS PAC ID: 4284548025 Enrollment ID: O20031117000522 |
Entity Name | Neshoba County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114057247 PECOS PAC ID: 6204738289 Enrollment ID: O20040121000618 |
Entity Name | Keystone Medical Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
Entity Name | Keystone Medical Services Of Gulfport Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881070183 PECOS PAC ID: 7113221011 Enrollment ID: O20160215000517 |
Entity Name | Medical Services Of Meridian Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles R Purdy, MD 83a Old Mill Creek Road, Enterprise, MS 39330 Ph: (601) 704-1020 | Dr Charles R Purdy, MD 83 Old Mill Creek Rd, Enterprise, MS 39330-9649 Ph: (601) 704-1020 |