| Allen R Yates, MD | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-6832 | |
| Not Available |
| Full Name | Allen R Yates |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2100 Highway 61 N, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528148855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 06373 (Mississippi) | Primary |
| Entity Name | South Sunflower County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Allen R Yates, MD Po Box 12870, Jackson, MS 39236-2870 Ph: (601) 896-0019 | Allen R Yates, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-6832 |
Gene Warren, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
James W Sutherland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 | |
Kathleen H Hardin, MS Radiology Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6832 |