Mr Prince Eleeh, | |
7601 Southcrest Pkwy, Southaven, MS 38671-4739 | |
(662) 772-4000 | |
(662) 772-2111 |
Full Name | Mr Prince Eleeh |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 7601 Southcrest Pkwy, Southaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730700105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 67038 (Tennessee) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 33252 (Mississippi) | Primary |
Entity Name | Henry Ford Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
Entity Name | Mymichigan Medical Center Midland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137 |
Mailing Address | Practice Location Address |
---|---|
Mr Prince Eleeh, 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281 | Mr Prince Eleeh, 7601 Southcrest Pkwy, Southaven, MS 38671-4739 Ph: (662) 772-4000 |
Savira Virk Sidhu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672 Phone: 662-892-5000 Fax: 662-892-5002 | |
Justin Michael Coats, CRNA Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1163 Carriage Dr S, Southaven, MS 38671 Phone: 901-550-3704 | |
Dr. Christopher Matthew Garrett Puls, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Omar Saeed, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 Fax: 662-772-2111 | |
Renee Elizabeth Reichert, APRN MSN PMHNP BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5627 Getwell Road, Building C Suite 2, Southaven, MS 38672 Phone: 662-483-1114 Fax: 662-314-9689 | |
Dr. Corina Freitas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 | |
Abhi Pandhi, MBBS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-4000 |