| Brandon L Coleman, D O | |
|
1016 Highway 42, Sumrall, MS 39482-9634 | |
| (601) 758-4214 | |
| (601) 758-0614 |
| Full Name | Brandon L Coleman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 1016 Highway 42, Sumrall, 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 |
|---|---|---|---|
| 1881685782 | NPI | - | NPPES |
| 2086469 | Other | MS | UNITED HEALTH CARE |
| 7034349 | Other | MS | AETNA |
| 71590-B | Other | MS | HUMANA/TRICARE |
| 1143078 | Other | MS | CAQH ID NUMBER |
| P00157321 | Other | MS | RAILROAD MEDICARE |
| 405915 | Other | MS | WINDSOR HEALTH GROUP |
| 1043492770 | Other | MS | FIRST CHOICE OF MISSISSIPPI |
| 8048940P04 | Other | MS | CIGNA |
| 00125342 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17409 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
| Amedisys Home Health Of Collins | Collins, MS | Home health agency |
| St Luke Home Health Services | Mccomb, MS | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon L Coleman, D O Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Brandon L Coleman, D O 1016 Highway 42, Sumrall, MS 39482-9634 Ph: (601) 758-4214 |
William Walker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Merit Health Medical Group-sumrall, 4891 Hwy 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615 | |
Jamie Goodwin Rawls, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 | |
Ginger N Pace-herndon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4215 Fax: 601-758-0614 | |
John David Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3008 |