Dr Wirt Fletcher Shrock Jr, MD is a medicare enrolled "Family Medicine" physician in Durant, Mississippi. His current practice location is
630 Northwest Ave, Durant, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 653-3012.
Dr Wirt Fletcher Shrock Jr is licensed to practice in Mississippi (license number 10738) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497843676.
Physician's Profile
| Full Name | Dr Wirt Fletcher Shrock Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 630 Northwest Ave, Durant, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Wirt Fletcher Shrock Jr attended and graduated from in
NPI Data:
- NPI Number: 1497843676
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 02/15/2010
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Wirt Fletcher Shrock Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497843676 | NPI | - | NPPES |
| 0011270 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 10738 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wirt Fletcher Shrock Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Wirt Fletcher Shrock Jr, MD
630 Northwest Ave,
Durant, MS 39063-3337
Ph: (662) 653-3012 | Dr Wirt Fletcher Shrock Jr, MD
630 Northwest Ave,
Durant, MS 39063-3337
Ph: (662) 653-3012 |
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