| Dr Edward Burris Eldred, DO | |
|
9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | |
| (662) 895-4949 | |
| (662) 895-6776 |
| Full Name | Dr Edward Burris Eldred |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 9075 Sandidge Center Cv, Olive Branch, 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 |
|---|---|---|---|
| 1699975425 | NPI | - | NPPES |
| 510455609 | Other | MS | TID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21066 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olive Branch Family Medical Center | 2567351984 | 6 |
| Uhs Of Parkwood Inc | 6002002276 | 2 |
| Entity Name | Olive Branch Family Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629018478 PECOS PAC ID: 2567351984 Enrollment ID: O20040313000211 |
| Entity Name | Uhs Of Parkwood Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093785859 PECOS PAC ID: 6002002276 Enrollment ID: O20101130000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Burris Eldred, DO 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 Ph: (662) 895-4949 | Dr Edward Burris Eldred, DO 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 Ph: (662) 895-4949 |
Mrs. Carol Smith, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9075 Sandidge Center Cove, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Dr. Randall T Huling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Susan C Brame, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9066 Highland St, Olive Branch, MS 38654 Phone: 662-890-7717 Fax: 662-874-6038 | |
Ashley Prevost Salvaggio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7235 Hacks Cross Rd, Olive Branch, MS 38654 Phone: 662-893-7878 Fax: 662-874-1391 | |
Ms. Linda Diane Trent, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 9075 Sandidge Center Cove, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 | |
Warren T Kwok, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8990 Germantown Rd, Olive Branch, MS 38654 Phone: 662-893-1160 Fax: 662-893-1166 |