John Clayton Nelson, MD | |
1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 | |
(601) 584-4309 | |
Not Available |
Full Name | John Clayton Nelson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 47 Years |
Location | 1146 Evelyn Gandy Pkwy, Petal, 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 |
---|---|---|---|
1366470056 | NPI | - | NPPES |
00019517 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 08024 (Mississippi) | Primary |
207P00000X | Emergency Medicine | 08024 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Union County | New albany, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
Entity Name | Wesley Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496 |
Entity Name | Hancock Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295142396 PECOS PAC ID: 8022237015 Enrollment ID: O20140924002285 |
Entity Name | App Of Mississippi Ed Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
Mailing Address | Practice Location Address |
---|---|
John Clayton Nelson, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309 | John Clayton Nelson, MD 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309 |
Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457 | |
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 | |
Patricia Lurline Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Donald V Conerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |