William Martin Bracken, DO | |
14365 Highway 16 W, De Kalb, MS 39328-7974 | |
(601) 743-4626 | |
(601) 743-2133 |
Full Name | William Martin Bracken |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 30 Years |
Location | 14365 Highway 16 W, De Kalb, 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 |
---|---|---|---|
1417969031 | NPI | - | NPPES |
00118406 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 15288 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 15288 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Foundation Hospital | Meridian, MS | Hospital |
John C Stennis Memorial Hospital | De kalb, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bonita Emergency Group Llc | 3870933278 | 14 |
Kemper Cah, Inc. | 5991985012 | 24 |
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 |
Entity Name | Rush Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
Entity Name | Laird Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Entity Name | Scott Regional Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
Entity Name | Kemper Cah, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
Entity Name | Bonita Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992563969 PECOS PAC ID: 3870933278 Enrollment ID: O20240502001459 |
Mailing Address | Practice Location Address |
---|---|
William Martin Bracken, DO 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-4282 | William Martin Bracken, DO 14365 Highway 16 W, De Kalb, MS 39328-7974 Ph: (601) 743-4626 |
Patricia Dunlap, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14365 Highway 16 W, De Kalb, MS 39328 Phone: 769-486-1000 Fax: 769-486-1099 | |
Anna Marie Hailey-sharp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14365 Highway 16 W, De Kalb, MS 39328 Phone: 601-743-4626 Fax: 601-743-2133 |