Michael Depasquale, | |
3550 Highway 468 W, Whitfield, MS 39193-5529 | |
(601) 351-8000 | |
Not Available |
Full Name | Michael Depasquale |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3550 Highway 468 W, Whitfield, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740913128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | T-4581 (Mississippi) | Primary |
Entity Name | Tbd Acquisition Ii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750891792 PECOS PAC ID: 7911272257 Enrollment ID: O20171219001761 |
Mailing Address | Practice Location Address |
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Michael Depasquale, 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: () - | Michael Depasquale, 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: (601) 351-8000 |
Dr. Luther Joseph Ward, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Mississippi State Hospital, Po Box 157a, Building 25, Whitfield, MS 39193 Phone: 601-351-8596 | |
Dr. Holden Blayne Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W Bldg 25, Whitfield, MS 39193 Phone: 601-351-8596 Fax: 601-351-8551 | |
Sarah Brannan Pierce, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8555 | |
Thomas Vincent Recore, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-0000 | |
Dr. Reb Mcmichael, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Patrick White, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Mississippi State Hospital 3550 Hwy 468, Building 25, Whitfield, MS 39193 Phone: 601-351-8596 | |
Dr. Sheryl Ann Smothers Heffernen, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 |