Dr Clarence A Justice, MD | |
589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | |
(662) 680-5565 | |
(662) 680-5654 |
Full Name | Dr Clarence A Justice |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 22 Years |
Location | 589 Garfield St, Tupelo, 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 |
---|---|---|---|
1184614620 | NPI | - | NPPES |
05186329 | Medicaid | MS | |
3334430 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 40004 (Tennessee) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 20969 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Pontotoc Health Service Inc Cah | Pontotoc, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gastroenterology Center Of The Midsouth Pllc | 4880619824 | 138 |
Entity Name | Gastroenterology Center Of The Midsouth Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20051010000483 |
Mailing Address | Practice Location Address |
---|---|
Dr Clarence A Justice, MD Po Box 21, Tupelo, MS 38802-0021 Ph: (662) 680-5565 | Dr Clarence A Justice, MD 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 Ph: (662) 680-5565 |
Dr. Marcus Louis Britton, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1542 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-4711 | |
John O Phillips, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St, Suite 201, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654 | |
Dr. Michael Ted Boler Jr., D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6950 | |
Christy Tucker Oswalt, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-842-7870 Fax: 662-842-7873 | |
Vernon A Rayford, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 | |
Stephen T Amann, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654 | |
Douglas L Hill, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Cardiology Associates Of North Ms, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6920 |