Joseph P Shrum, MD | |
1245 42nd Ave, Gulfport, MS 39501-2666 | |
(228) 864-8049 | |
(228) 864-7655 |
Full Name | Joseph P Shrum |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1245 42nd Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417040213 | NPI | - | NPPES |
11871 | Other | MS | MEDICAL LIC |
1316202 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 11871 (Mississippi) | Primary |
Entity Name | Tulane Dermatology Affiliates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821285438 PECOS PAC ID: 7416924212 Enrollment ID: O20040913000138 |
Mailing Address | Practice Location Address |
---|---|
Joseph P Shrum, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 | Joseph P Shrum, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 |
Dr. Robert C Wessler, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1118 Broad Ave, Gulfport, MS 39501 Phone: 228-863-7115 Fax: 228-863-2723 | |
Dr. Gwendolyn Ann Crane, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1304 44th Ave, Gulfport, MS 39501 Phone: 228-868-4006 Fax: 228-822-2461 | |
Dr. Alan Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1245 42nd Ave, Gulfport, MS 39501 Phone: 228-864-8049 Fax: 228-864-7655 | |
Dr. Angela Booth Wingfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 |