Dr Wallace W Weatherly, MD | |
1801 Crane Ridge Dr, Suite C, Jackson, MS 39216-4902 | |
(601) 981-5633 | |
(601) 981-1844 |
Full Name | Dr Wallace W Weatherly |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 37 Years |
Location | 1801 Crane Ridge Dr, Jackson, 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 |
---|---|---|---|
1972558542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 11796 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Abilene, TX | Home health agency |
Rolling Plains Memorial Hospital | Sweetwater, TX | Hospital |
Mitchell County Hospital District | Colorado city, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Discovery Medical Network Sweetwater Llc | 6608025176 | 7 |
Entity Name | Discovery Medical Network Sweetwater Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134485550 PECOS PAC ID: 6608025176 Enrollment ID: O20120927000686 |
Mailing Address | Practice Location Address |
---|---|
Dr Wallace W Weatherly, MD 907 E Sunflower Rd, Ste 102, Cleveland, MS 38732-2830 Ph: (662) 843-8885 | Dr Wallace W Weatherly, MD 1801 Crane Ridge Dr, Suite C, Jackson, MS 39216-4902 Ph: (601) 981-5633 |
Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586 | |
Jacob Allen Smithey, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-951-5980 | |
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861 | |
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 | |
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Spencer Montgomery, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 |