Dr John D Burk, MD | |
516 Pegram Dr, Tupelo, MS 38801-6347 | |
(662) 844-6272 | |
(662) 844-1603 |
Full Name | Dr John D Burk |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 516 Pegram Dr, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518991033 | NPI | - | NPPES |
00123008 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 7919 (Mississippi) | Primary |
Entity Name | Dermatology Center Of North Ms Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053491605 PECOS PAC ID: 7416006986 Enrollment ID: O20090513000267 |
Mailing Address | Practice Location Address |
---|---|
Dr John D Burk, MD 516 Pegram Dr, Tupelo, MS 38801-6347 Ph: (662) 844-6272 | Dr John D Burk, MD 516 Pegram Dr, Tupelo, MS 38801-6347 Ph: (662) 844-6272 |
Dr. Bradley Noel Greenhaw, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Pegram Dr, Tupelo, MS 38801 Phone: 662-844-6272 Fax: 662-844-1603 | |
James Clayton Parker Iii, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 408 Council Cir Ste C, Tupelo, MS 38801 Phone: 662-377-3376 Fax: 662-377-3308 | |
Dr. Jeffrey C Houin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Pegram Dr, Tupelo, MS 38801 Phone: 662-844-6272 Fax: 662-844-1603 |