| Calvin P Poole, MD | |
|
595 Main St E, Meadville, MS 39653-9233 | |
| (601) 384-8112 | |
| (601) 384-4100 |
| Full Name | Calvin P Poole |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 595 Main St E, Meadville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811932072 | NPI | - | NPPES |
| 00122580 | Medicaid | MS | |
| 09013856 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09173 (Mississippi) | Primary |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | Leake Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin P Poole, MD Po Box 636, 40 Union Church Rd, Meadville, MS 39653-0636 Ph: (601) 384-8112 | Calvin P Poole, MD 595 Main St E, Meadville, MS 39653-9233 Ph: (601) 384-8112 |
Dr. Bradley Bowlin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115b Hwy 556, Meadville, MS 39653 Phone: 601-384-2396 Fax: 601-384-3648 | |
Dr. William B Larkin Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 40 Union Church Rd, Meadville, MS 39653 Phone: 601-384-8112 Fax: 601-384-4100 | |
Dr. Kimberly Johnson Estes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 595 Main St E, Meadville, MS 39653 Phone: 601-384-3199 Fax: 601-384-3950 |