| Dr John D Burk, MD | |
| 516 Pegram Dr, Tupelo, MS 38801-6347 | |
| (662) 844-6272 | |
| (662) 844-1603 | 
| Full Name | Dr John D Burk | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 516 Pegram Dr, Tupelo, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518991033 | NPI | - | NPPES | 
| 00123008 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 7919 (Mississippi) | Primary | 
| Entity Name | Dermatology Center Of North Ms Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053491605 PECOS PAC ID: 7416006986 Enrollment ID: O20090513000267 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr John D Burk, MD 516 Pegram Dr, Tupelo, MS 38801-6347 Ph: (662) 844-6272 | Dr John D Burk, MD 516 Pegram Dr, Tupelo, MS 38801-6347 Ph: (662) 844-6272 | 
| Dr. Bradley Noel Greenhaw, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Pegram Dr, Tupelo, MS 38801 Phone: 662-844-6272 Fax: 662-844-1603 | |
| James Clayton Parker Iii, MD Dermatology Medicare: Medicare Enrolled Practice Location: 408 Council Cir Ste C, Tupelo, MS 38801 Phone: 662-377-3376 Fax: 662-377-3308 | |
| Dr. Jeffrey C Houin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Pegram Dr, Tupelo, MS 38801 Phone: 662-844-6272 Fax: 662-844-1603 |