Dr Robert Ira Eubanks, MD | |
1600 22nd Ave Fl 3, Meridian, MS 39301-3223 | |
(601) 703-8370 | |
(601) 703-8397 |
Full Name | Dr Robert Ira Eubanks |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1600 22nd Ave Fl 3, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356504872 | NPI | - | NPPES |
04451254 | Medicaid | MS | |
155370 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21491 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Anderson Physician Alliance Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
Mailing Address | Practice Location Address |
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Dr Robert Ira Eubanks, MD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281 | Dr Robert Ira Eubanks, MD 1600 22nd Ave Fl 3, Meridian, MS 39301-3223 Ph: (601) 703-8370 |
Dr. James P Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St Fl 2, Meridian, MS 39301 Phone: 601-553-2000 Fax: 601-482-8219 | |
Dr. William Edward Elliott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-483-1753 | |
Dr. Lara L. Ross, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Hwy 19 N, Meridian, MS 39307 Phone: 601-696-3232 Fax: 601-696-3231 | |
Dr. William B Simmons, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2024 15th St, 5th Floor North, Meridian, MS 39301 Phone: 601-693-2777 | |
William Robert Justice Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 22nd Avenue, Medical Towers 3, Third Floor, Suite B, Meridian, MS 39301 Phone: 601-703-8370 Fax: 601-703-8397 | |
Dr. Mary Alice Schaefer, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7961 Van Zyverden Rd, Meridian, MS 39305 Phone: 256-509-0590 | |
Akhtar J. Siddiqui, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 905c S Frontage Rd, Meridian, MS 39301 Phone: 601-486-4210 Fax: 601-486-4219 |