Joshua M Holifield, DO | |
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
(601) 883-5000 | |
(601) 883-7803 |
Full Name | Joshua M Holifield |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 8 Years |
Location | 2100 Highway 61 N, Vicksburg, 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 |
---|---|---|---|
1194174755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | PG177501 (Oregon) | Secondary |
208600000X | Surgery | 28757 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health Wesley | Hattiesburg, MS | Hospital |
Magee General Hospital | Magee, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Surgical Associates, P. A. | 6507820560 | 5 |
Entity Name | Vicksburg Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
Entity Name | Southern Surgical Associates, P. A. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265551162 PECOS PAC ID: 6507820560 Enrollment ID: O20041118000746 |
Mailing Address | Practice Location Address |
---|---|
Joshua M Holifield, DO 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 | Joshua M Holifield, DO 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Eugene B Ferris, MD Surgery Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Henry M Jarmon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Dr. Stephen D Sudderth, MD Surgery Medicare: Medicare Enrolled Practice Location: 188 Ymca Pl, Vicksburg, MS 39183 Phone: 601-636-7222 Fax: 601-636-0440 |