| Dr James Wilfred Ervin Jr, MD | |
|
104 W Railroad Ave S, Crystal Springs, MS 39059-2111 | |
| (601) 892-3063 | |
| (601) 892-3570 |
| Full Name | Dr James Wilfred Ervin Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 40 Years |
| Location | 104 W Railroad Ave S, Crystal Springs, 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 |
|---|---|---|---|
| 1619903580 | NPI | - | NPPES |
| 06726832 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11355 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
| Copiah County Medical Center | Hazlehurst, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Copiah Living Center | Crystal springs, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Medical Clinic Of Crystal Springs Pllc | 6002894706 | 3 |
| Entity Name | Family Medical Clinic Of Crystal Springs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205915998 PECOS PAC ID: 6002894706 Enrollment ID: O20040709000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Wilfred Ervin Jr, MD 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 Ph: (601) 892-3063 | Dr James Wilfred Ervin Jr, MD 104 W Railroad Ave S, Crystal Springs, MS 39059-2111 Ph: (601) 892-3063 |
Dr. Robert A. Gannaway, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 408 E Railroad Ave, Suite B, Crystal Springs, MS 39059 Phone: 601-892-7860 Fax: 601-892-7861 |