| Dr James Glenn Peters, MD | |
|
14724 Highway 15 N, Louisville, MS 39339-6318 | |
| (662) 773-7500 | |
| Not Available |
| Full Name | Dr James Glenn Peters |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 14724 Highway 15 N, Louisville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114912680 | NPI | - | NPPES |
| 00017300 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 08788 (Mississippi) | Primary |
| Entity Name | Winston County Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078108 PECOS PAC ID: 7315943255 Enrollment ID: O20061017000019 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Glenn Peters, MD 8613 Ms Highway 12, Ackerman, MS 39735-8917 Ph: (662) 285-9460 | Dr James Glenn Peters, MD 14724 Highway 15 N, Louisville, MS 39339-6318 Ph: (662) 773-7500 |
Weston Dakota Eldridge, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 Fax: 662-446-1698 | |
Dr. Samuel Keith Suttle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
James D Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17540 E Main St, Louisville, MS 39339 Phone: 662-773-3503 Fax: 662-773-6457 | |
Dr. Roger L Nunez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14130 Highway 15 S Ste D, Louisville, MS 39339 Phone: 662-779-1175 Fax: 844-778-8922 | |
Dr. Michael L. Ard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17540 E Main Street, Louisville, MS 39339 Phone: 662-773-3503 Fax: 662-446-1039 |