| Dr Erica R Balthrop, MD | |
|
401 Southcrest Cir Ste 104, Southaven, MS 38671-6712 | |
| (662) 349-1112 | |
| Not Available |
| Full Name | Dr Erica R Balthrop |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 29 Years |
| Location | 401 Southcrest Cir Ste 104, Southaven, Mississippi |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366438772 | NPI | - | NPPES |
| 149982001 | Other | MS | ARK MEDICAID |
| 82606 | Other | MS | ARK BC BS |
| 00122260 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 16812 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Progressive Medical Management Of Batesville Llc | 0345583225 | 12 |
| Baptist Memorial Medical Group, Inc. | 5193610228 | 468 |
| Entity Name | Sanders Clinic For Women P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962423046 PECOS PAC ID: 9537136254 Enrollment ID: O20040913001047 |
| Entity Name | Baptist Memorial Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
| Entity Name | Obhg Mississippi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
| Entity Name | Progressive Medical Management Of Batesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
| Entity Name | Northwest Miss Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598458515 PECOS PAC ID: 3173969177 Enrollment ID: O20240610002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erica R Balthrop, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: (901) 226-3186 | Dr Erica R Balthrop, MD 401 Southcrest Cir Ste 104, Southaven, MS 38671-6712 Ph: (662) 349-1112 |
Gregory Pearce Norwood, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 662-349-1112 Fax: 662-349-6646 | |
Dr. Alok Kumar, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd, Bldg C Suite 2, Southaven, MS 38671 Phone: 662-349-5554 Fax: 662-349-5570 | |
Dr. Katherine Watson, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7628 Airways Blvd, Southaven, MS 38671 Phone: 662-349-5554 | |
Usha J Mehta, M.D.,F.A.C.O.G. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 7600 Airways Blvd, Suite A, Southaven, MS 38671 Phone: 662-349-1000 Fax: 662-349-8805 | |
Daniel Lee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 2, Southaven, MS 38671 Phone: 662-349-5554 Fax: 662-349-5570 | |
Thaddeus B Gaillard Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 401 Southcrest Circle, Suite 102, Southaven, MS 38671 Phone: 662-349-4377 Fax: 662-349-4378 |