| Dr Earl L Mahaffey, MD | |
|
1014 Rose St, Jefferson Davis General Hospital, Prentiss, MS 39474-5271 | |
| (601) 792-2200 | |
| (601) 792-2345 |
| Full Name | Dr Earl L Mahaffey |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1014 Rose St, Prentiss, 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 |
|---|---|---|---|
| 1689692972 | NPI | - | NPPES |
| 1130335 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10777 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Ms Pc | 0143694190 | 15 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| 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 | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Earl L Mahaffey, MD Po Box 667, Prentiss, MS 39474-0667 Ph: (601) 792-2200 | Dr Earl L Mahaffey, MD 1014 Rose St, Jefferson Davis General Hospital, Prentiss, MS 39474-5271 Ph: (601) 792-2200 |
Laura Jackson Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Olivia D Moran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 84 Laird Brinson Rd, Prentiss, MS 39474 Phone: 601-792-4079 |