Joshua Ryan Allen, | |
5001 Hardy St, Hattiesburg, MS 39402-1308 | |
(601) 268-8000 | |
Not Available |
Full Name | Joshua Ryan Allen |
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Gender | Male |
Speciality | Pediatrics |
Location | 5001 Hardy St, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073132783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 32004 (Mississippi) | Primary |
Entity Name | Wesley Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496 |
Mailing Address | Practice Location Address |
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Joshua Ryan Allen, 1112 W Cleburne Rd, Crowley, TX 76036-4564 Ph: (817) 262-0403 | Joshua Ryan Allen, 5001 Hardy St, Hattiesburg, MS 39402-1308 Ph: (601) 268-8000 |
Megan Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4210 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-261-3500 Fax: 601-579-5240 | |
Lowry C Stanford Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050 | |
Damea B Benton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Medical Park, Hattiesburg, MS 39401 Phone: 601-579-3000 Fax: 601-579-5240 | |
Dr. Elizabeth M Felder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740 | |
Jeffrey C Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2899 West 4th Street, Hattiesburg, MS 39406 Phone: 601-266-5390 Fax: 601-266-4205 | |
Dr. John Wells Gaudet, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3013 |