| Cole Shane Craighead, MD | |
|
425 Highway 51 N, Brookhaven, MS 39601-2350 | |
| (318) 450-0092 | |
| (601) 748-7063 |
| Full Name | Cole Shane Craighead |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 425 Highway 51 N, Brookhaven, 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 |
|---|---|---|---|
| 1285263376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 35672 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brookhaven Urology, Pa | 9638227804 | 3 |
| Entity Name | Brookhaven Urology, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154421006 PECOS PAC ID: 9638227804 Enrollment ID: O20090427000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Shane Craighead, MD 425 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (318) 450-0092 | Cole Shane Craighead, MD 425 Highway 51 N, Brookhaven, MS 39601-2350 Ph: (318) 450-0092 |
Dr. Jeffrey G Clark, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 425 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-5713 Fax: 601-833-1616 |
Joel David Duff, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 425 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-5713 Fax: 601-748-7063 |
Dr. James Jeffery Boyd, M.D. Urology Medicare: Medicare Enrolled Practice Location: 425 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-5713 Fax: 601-833-1616 |