| Clinton R Smith, MD | |
|
620 Crossover Rd, Tupelo, MS 38801-4944 | |
| (662) 620-7102 | |
| (662) 620-7106 |
| Full Name | Clinton R Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 620 Crossover Rd, Tupelo, 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 |
|---|---|---|---|
| 1306870662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 18558 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Baptist Medical Center-leake | Carthage, MS | Hospital |
| Baptist Medical Center-yazoo | Yazoo city, MS | Hospital |
| Baptist Medical Center Attala | Kosciusko, MS | Hospital |
| Crossgates River Oaks Hospital | Brandon, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Hma Hospitalists Llc | 5991972077 | 38 |
| Radiological Group, Pa | 7810969607 | 13 |
| Entity Name | Premier Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20040730000681 |
| Entity Name | Radiological Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346398625 PECOS PAC ID: 7810969607 Enrollment ID: O20040811001079 |
| Entity Name | Mississippi Hma Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
| Entity Name | Oxford Pre Op & Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750646436 PECOS PAC ID: 0840444998 Enrollment ID: O20130125000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton R Smith, MD Po Box 980, Tupelo, MS 38802-0980 Ph: (662) 620-7102 | Clinton R Smith, MD 620 Crossover Rd, Tupelo, MS 38801-4944 Ph: (662) 620-7102 |
Dr. Anthony David Junck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 Fax: 662-844-8298 | |
Gillbert Daryl Hallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Robert Conrad Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Ray Reed Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 990 South Madison Street, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Russell Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 | |
Dr. Eric Ward Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |