| Clide S Sherrod, MD | |
|
801 Goodyear Blvd, Picayune, MS 39466-3221 | |
| (601) 798-4711 | |
| Not Available |
| Full Name | Clide S Sherrod |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 801 Goodyear Blvd, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942212543 | NPI | - | NPPES |
| 1411663 | Medicaid | LA | |
| P00806416 | Other | MS | RRMCARE THRU HCCN |
| 159370001 | Medicaid | AR | |
| 00114489 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 14122 (Mississippi) | Primary |
| 207Q00000X | Family Medicine | 14122 (Mississippi) | Secondary |
| 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 |
| Entity Name | Acs Emergency Services Of Mississippi Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396996997 PECOS PAC ID: 7719049998 Enrollment ID: O20081222000668 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Clide S Sherrod, MD Po Box 31165, Tampa, FL 33631-3165 Ph: (877) 485-4474 | Clide S Sherrod, MD 801 Goodyear Blvd, Picayune, MS 39466-3221 Ph: (601) 798-4711 |
Ujwal Meka, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd Ste 100, Picayune, MS 39466 Phone: 769-242-1700 Fax: 769-242-2148 | |
Dr. Dirk H. Danielson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801goodyear Blvd., Picayune, MS 39466 Phone: 601-452-9690 | |
Patrizia M. Colbert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Goodyear Blvd., Picayune, MS 39466 Phone: 504-554-5455 |