Dr Rudolph S Runnels Sr, MD | |
360 Simpson Highway 149 Ste 170, Magee, MS 39111-3840 | |
(601) 849-9182 | |
(601) 849-5781 |
Full Name | Dr Rudolph S Runnels Sr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 360 Simpson Highway 149 Ste 170, Magee, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881651131 | NPI | - | NPPES |
00123451 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS1201X | Family Medicine - Sleep Medicine | 08417 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 08417 (Mississippi) | Primary |
Entity Name | Magee Benevolent Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Rudolph S Runnels Sr, MD P.o. Box 605, Magee, MS 39111 Ph: (601) 849-9182 | Dr Rudolph S Runnels Sr, MD 360 Simpson Highway 149 Ste 170, Magee, MS 39111-3840 Ph: (601) 849-9182 |
Thomas Rayford Blackledge Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Third St Sw, Magee, MS 39111 Phone: 601-849-1918 | |
Dr. Patrick J. Pasco, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Simpson Highway 149, Suite 380, Magee, MS 39111 Phone: 601-849-1215 Fax: 601-849-5320 | |
Frank C Wade Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Simpson Highway 149, Suite 370, Magee, MS 39111 Phone: 601-849-1530 Fax: 601-849-1535 | |
Dr. Charles Pruitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Simpson Highway 149, Suite300, Magee, MS 39111 Phone: 601-849-1230 Fax: 601-849-1890 | |
Gene David Cathey, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 360 Simpson Highway 149, Suite 360, Magee, MS 39111 Phone: 601-849-1245 | |
James Shelby Presgraves, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 360 Simpson Highway 149 Ste 150, Magee, MS 39111 Phone: 601-264-6000 Fax: 601-579-5240 |