| Brian D Hudson, | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-5000 | |
| Not Available |
| Full Name | Brian D Hudson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| 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 |
|---|---|---|---|
| 1154362606 | NPI | - | NPPES |
| 1560065 | Medicaid | LA | |
| 00125435 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 16272 (Mississippi) | Primary |
| Entity Name | Claiborne County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Hudson, Po Box 1198, Dept 03-007rc, Vicksburg, MS 39181-1198 Ph: (601) 883-4250 | Brian D Hudson, 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Dr. Kaylise Angelle Trahan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
James Henry Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Brandon J Craft, NP Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 2080 S Frontage Rd, Vicksburg, MS 39180 Phone: 601-262-1000 Fax: 601-262-1009 | |
Dr. William E Johnston Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Christopher L Jackson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Brandon Mizell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1173 |