| Dr Evan J Pickus, MD | |
|
310 Ellis St, Carthage, MS 39051-3809 | |
| (601) 740-2785 | |
| Not Available |
| Full Name | Dr Evan J Pickus |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 310 Ellis St, Carthage, 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 |
|---|---|---|---|
| 1073545554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 17806 (Mississippi) | Primary |
| 207P00000X | Emergency Medicine | 17806 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wmc Emergency Services Llc | 5698102465 | 10 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Entity Name | Attala Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407103294 PECOS PAC ID: 5294984340 Enrollment ID: O20121004000363 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | Choctaw Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
| Entity Name | Leake Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
| Entity Name | Wmc Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336786235 PECOS PAC ID: 5698102465 Enrollment ID: O20200218000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Evan J Pickus, MD 6424 Central City Blvd Apt 534, Galveston, TX 77551-8007 Ph: (601) 740-2785 | Dr Evan J Pickus, MD 310 Ellis St, Carthage, MS 39051-3809 Ph: (601) 740-2785 |