Dr Thomas Bass Beasley, MD | |
5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 | |
(662) 893-9815 | |
(662) 893-9888 |
Full Name | Dr Thomas Bass Beasley |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 5480 Goodman Rd, Olive Branch, 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 |
---|---|---|---|
1538393905 | NPI | - | NPPES |
00276815 | Medicaid | MS | |
P01440718 | Other | MS | RAILROAD MEDICARE |
Q008144 | Medicaid | TN | |
6020201 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 23320 (Mississippi) | Primary |
208600000X | Surgery | 52023 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spg Ii Llc | 7012177132 | 8 |
Entity Name | Spg Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255602587 PECOS PAC ID: 7012177132 Enrollment ID: O20120515000546 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Bass Beasley, MD Po Box 1000, Dept # 74, Memphis, TN 38148-0001 Ph: (662) 893-9815 | Dr Thomas Bass Beasley, MD 5480 Goodman Rd, Suite 2, Olive Branch, MS 38654-7902 Ph: (662) 893-9815 |
Dr. Michael E. Foster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5036 Goodman Rd, Suite #116, Olive Branch, MS 38654 Phone: 662-420-7061 Fax: 662-420-7583 | |
Catherine Petzinger Deshazo, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5480 Goodman Rd, Olive Branch, MS 38654 Phone: 662-893-9815 Fax: 662-893-9888 |