Dr Tarence E Wade, MD | |
960 Avent Dr, Grenada, MS 38901-5230 | |
(662) 227-7172 | |
Not Available |
Full Name | Dr Tarence E Wade |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 32 Years |
Location | 960 Avent Dr, Grenada, 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 |
---|---|---|---|
1043246259 | NPI | - | NPPES |
00115897 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11435 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Panola Physician Group Llc | 2668715624 | 13 |
Correct Care, Inc. | 8628980992 | 69 |
Entity Name | Mississippi Emergency Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Entity Name | Panola Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528874 PECOS PAC ID: 2668715624 Enrollment ID: O20190515002618 |
Entity Name | Coffee County Physician Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437164878 PECOS PAC ID: 4082671235 Enrollment ID: O20190612002779 |
Mailing Address | Practice Location Address |
---|---|
Dr Tarence E Wade, MD 14050 Nw 14th St, Suite 190, Sunrise, FL 33323-2865 Ph: (800) 424-3672 | Dr Tarence E Wade, MD 960 Avent Dr, Grenada, MS 38901-5230 Ph: (662) 227-7172 |
Dr. Dennis W Aust, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 800-424-3672 Fax: 954-377-3042 | |
Hubert D Taylor Ii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7000 | |
Dr. Stephen D Butler, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7172 |