| Blake A Booth, MD | |
|
1308 Belk Blvd, Oxford, MS 38655-5302 | |
| (662) 234-6551 | |
| (662) 234-0468 |
| Full Name | Blake A Booth |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 15 Years |
| Location | 1308 Belk Blvd, Oxford, 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 |
|---|---|---|---|
| 1194915249 | NPI | - | NPPES |
| 1000574 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 21490 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Williamson Eye Center | 9335131192 | 18 |
| Entity Name | Williamson Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699812909 PECOS PAC ID: 9335131192 Enrollment ID: O20040401000144 |
| Entity Name | Baton Rouge Eye Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346380557 PECOS PAC ID: 9335240183 Enrollment ID: O20070808000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake A Booth, MD 1308 Belk Blvd, Oxford, MS 38655-5302 Ph: (662) 234-6551 | Blake A Booth, MD 1308 Belk Blvd, Oxford, MS 38655-5302 Ph: (662) 234-6551 |
Randy K Richardson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2606 S. Lamar, Oxford, MS 38655 Phone: 662-234-6551 | |
Thomas M Tann Iii, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2606 S. Lamar, Oxford, MS 38655 Phone: 662-234-6551 | |
Dr. Emily Taylor Graves, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2606 S. Lamar, Oxford, MS 38655 Phone: 662-234-6551 | |
Dr. William Sumners Mayo, D.O. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1628 Highway 30 East, Oxford, MS 38655 Phone: 662-234-3937 Fax: 662-234-3898 | |
Dr. James W Rayner, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1308 Belk Blvd, Oxford, MS 38655 Phone: 662-234-6551 | |
Mr. James Byron Shipp, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1628 Highway 30 East, Oxford, MS 38655 Phone: 662-234-3937 Fax: 662-234-3898 |