Peter L Hercules, MD | |
427 Hwy 51 North, Brookhaven, MS 39601-2600 | |
(601) 892-2149 | |
Not Available |
Full Name | Peter L Hercules |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 427 Hwy 51 North, Brookhaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841233475 | NPI | - | NPPES |
00126873 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 293334 (New York) | Secondary |
207Q00000X | Family Medicine | 293334 (New York) | Secondary |
207P00000X | Emergency Medicine | 16013 (Mississippi) | Primary |
Entity Name | Kings Daughters Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
Mailing Address | Practice Location Address |
---|---|
Peter L Hercules, MD 200 Corporate Blvd., Suite 201, Lafayette, LA 70508 Ph: (800) 893-9698 | Peter L Hercules, MD 427 Hwy 51 North, Brookhaven, MS 39601-2600 Ph: (601) 892-2149 |
Dr. Elaine Ruth Reinhard, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 519 W Monticello St, Suite B, Brookhaven, MS 39601 Phone: 601-990-2963 Fax: 601-833-0530 | |
Ms. Emily Diane Andrews-wilkinson, NP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 503 Silver Cross Dr, Brookhaven, MS 39601 Phone: 601-833-2361 | |
Jeffrey D. Ross, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 Hwy 51 North, Brookhaven, MS 39601 Phone: 601-833-0541 | |
Dana Williams Matte, NP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 427 Hwy 51 North, Brookhaven, MS 39601 Phone: 601-833-7831 | |
Dr. Cole Timmons Hodges, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 427 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-6011 |