Stanley A Wade Jr, MD | |
1800 12th St, Meridian, MS 39301-4158 | |
(601) 703-9223 | |
(601) 703-9405 |
Full Name | Stanley A Wade Jr |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 56 Years |
Location | 1800 12th St, 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 |
---|---|---|---|
1578545984 | NPI | - | NPPES |
00115344 | Medicaid | MS | |
730-12551 | Other | BLUE CROSS OF AL | |
P00069795 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 06967 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Foundation Hospital | Meridian, MS | Hospital |
Choctaw General Hospital | Butler, AL | Hospital |
Laird Hospital Inc | Union, MS | Hospital |
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
John C Stennis Memorial Hospital | De kalb, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Inc | 9234043712 | 124 |
Entity Name | Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Mailing Address | Practice Location Address |
---|---|
Stanley A Wade Jr, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-4282 | Stanley A Wade Jr, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 703-9223 |
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 | |
Mark T Phillips, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1600 22nd Ave, Medical Towers Iii, 3rd Floor, Meridian, MS 39301 Phone: 601-693-1055 Fax: 601-482-5312 |