Stephen Milan Shirley, MD | |
400 Doctors Dr, New Albany, MS 38652-3109 | |
(662) 534-5036 | |
(662) 534-9696 |
Full Name | Stephen Milan Shirley |
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Gender | Male |
Speciality | Family Medicine |
Location | 400 Doctors Dr, New Albany, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720044456 | NPI | - | NPPES |
00018005 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 07361 (Mississippi) | Primary |
Entity Name | Pontotoc Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
Mailing Address | Practice Location Address |
---|---|
Stephen Milan Shirley, MD 400 Doctors Drive, New Albany, MS 38652 Ph: (662) 534-5036 | Stephen Milan Shirley, MD 400 Doctors Dr, New Albany, MS 38652-3109 Ph: (662) 534-5036 |
Melissa Jean Vinson, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 474 W Bankhead St, New Albany, MS 38652 Phone: 662-534-7777 Fax: 662-534-7777 | |
Troy Jun Ostrander, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Oxford Road, New Albany, MS 38652 Phone: 662-534-8166 Fax: 662-534-8132 | |
Samuel Joshua Creekmore Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Oxford Rd, New Albany, MS 38652 Phone: 662-534-9042 Fax: 662-534-9707 | |
Jennifer Thompson-davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 Fax: 662-534-9696 | |
Ronald B Scott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Oxford Rd, New Albany, MS 38652 Phone: 662-534-9042 Fax: 662-534-9707 |