| Dr Erika Love Tanner, MD | |
|
115 Fountains Blvd, Suite A, Madison, MS 39110-6344 | |
| (601) 853-0100 | |
| (601) 853-3999 |
| Full Name | Dr Erika Love Tanner |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 20 Years |
| Location | 115 Fountains Blvd, Madison, 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 |
|---|---|---|---|
| 1679732788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 21057 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Ob/gyn Associates, Llc | 3274785746 | 2 |
| 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 | Madison Ob/gyn Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699068775 PECOS PAC ID: 3274785746 Enrollment ID: O20121207000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Erika Love Tanner, MD 115 Fountains Blvd, Suite A, Madison, MS 39110-6344 Ph: (601) 853-0100 | Dr Erika Love Tanner, MD 115 Fountains Blvd, Suite A, Madison, MS 39110-6344 Ph: (601) 853-0100 |
Dr. Leslie F Mason, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 115 Fountains Blvd, Suite A, Madison, MS 39110 Phone: 601-853-0100 Fax: 601-853-3999 | |
Melissa M Bacon, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 113 Mcrae Pt, Madison, MS 39110 Phone: 507-250-7030 |