Dr Wesley F Prater, MD | |
1668 W Peace St, Canton, MS 39046-5332 | |
(601) 859-5213 | |
(601) 859-8771 |
Full Name | Dr Wesley F Prater |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1668 W Peace St, Canton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972564656 | NPI | - | NPPES |
00016899 | Medicaid | MS | |
C48145 | Other | MS | UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | 08247 (Mississippi) | Secondary |
207V00000X | Obstetrics & Gynecology | 08247 (Mississippi) | Primary |
Entity Name | Ms State Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
Entity Name | G A Carmichael Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801952809 PECOS PAC ID: 2567371032 Enrollment ID: O20050816001055 |
Mailing Address | Practice Location Address |
---|---|
Dr Wesley F Prater, MD Po Box 588, Canton, MS 39046-0588 Ph: (601) 859-5213 | Dr Wesley F Prater, MD 1668 W Peace St, Canton, MS 39046-5332 Ph: (601) 859-5213 |
Dr. Jennifer O Hicks, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 276 Nissan Pkwy, Building E Suite 100, Canton, MS 39046 Phone: 601-855-4880 Fax: 601-859-2995 | |
Dr. Maria Moman Moman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace Street, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |