Dr Walter Bradley Rentrop, MD | |
611 Alcorn Dr, Corinth, MS 38834-9388 | |
(662) 293-7686 | |
Not Available |
Full Name | Dr Walter Bradley Rentrop |
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Gender | Male |
Speciality | Internal Medicine |
Location | 611 Alcorn Dr, Corinth, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609438662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | T-3831 (Mississippi) | Primary |
Entity Name | Crescent City Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689722340 PECOS PAC ID: 2769370543 Enrollment ID: O20040308001058 |
Mailing Address | Practice Location Address |
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Dr Walter Bradley Rentrop, MD 209 Cr 604, Apt 6, Corinth, MS 38834-9388 Ph: (901) 870-8809 | Dr Walter Bradley Rentrop, MD 611 Alcorn Dr, Corinth, MS 38834-9388 Ph: (662) 293-7686 |
Jessica Suzanne Jensen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Christopher Taylor Smith, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7686 Fax: 662-293-4347 | |
Austin Winegar, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 208-550-2969 | |
John Wayne Prather, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Suite 230, Corinth, MS 38834 Phone: 662-287-5218 Fax: 662-286-3186 | |
Dr. Ryder Lane Costa, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1143 | |
Dr. Michael Tefertiller, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Neil Sloan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Alcorn Dr, Corinth, MS 38834 Phone: 662-665-9073 Fax: 662-665-9098 |