Mark T Phillips, MD | |
1600 22nd Ave, Medical Towers Iii, 3rd Floor, Meridian, MS 39301-3223 | |
(601) 693-1055 | |
(601) 482-5312 |
Full Name | Mark T Phillips |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 1600 22nd Ave, Meridian, 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 |
---|---|---|---|
1821124728 | NPI | - | NPPES |
0110336 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 11068 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
Rush Foundation Hospital | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meridian Medical Associates, Pa | 7113947797 | 21 |
Entity Name | Meridian Medical Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316051766 PECOS PAC ID: 7113947797 Enrollment ID: O20051128000639 |
Mailing Address | Practice Location Address |
---|---|
Mark T Phillips, MD Po Box 749215, Atlanta, GA 30374-9215 Ph: (901) 226-3186 | Mark T Phillips, MD 1600 22nd Ave, Medical Towers Iii, 3rd Floor, Meridian, MS 39301-3223 Ph: (601) 693-1055 |
Stanley A. Wade Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9223 Fax: 601-703-9405 | |
Robert E Dilworth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1600 22nd Ave, Medical Towers 3, 3rd Fl, Meridian, MS 39301 Phone: 601-693-1055 Fax: 601-482-5312 | |
Richard M. Vise, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9223 Fax: 601-703-9405 |