Ethel S Beasley, MD is a medicare enrolled "Internal Medicine" physician in Choctaw, Mississippi. Her current practice location is
210 Hospital Cir, Choctaw, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 656-2211.
Ethel S Beasley is licensed to practice in Mississippi (license number 12703) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154321354.
Physician's Profile
Full Name | Ethel S Beasley |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 210 Hospital Cir, Choctaw, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ethel S Beasley attended and graduated from in
NPI Data:
- NPI Number: 1154321354
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 09/02/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ethel S Beasley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154321354 | NPI | - | NPPES |
73014344 | Other | | BLUE CROSS OF AL |
00111151 | Medicaid | MS | |
009974375 | Other | AL | MEDICAID OF AL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 12703 (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. Ethel S Beasley 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 |
Ethel S Beasley, MD 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 | Ethel S Beasley, MD 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 |
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