| Dr Justin Dale Manley, MD | |
|
4436 Mangum Dr, Flowood, MS 39232-2113 | |
| (769) 243-6141 | |
| Not Available |
| Full Name | Dr Justin Dale Manley |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 18 Years |
| Location | 4436 Mangum Dr, Flowood, 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 |
|---|---|---|---|
| 1871780544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 27728 (Mississippi) | Primary |
| 208600000X | Surgery | 27728 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Vascular And Vein Associates, Llc | 2668863085 | 5 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Wound Management Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339 |
| Entity Name | Advanced Vascular And Vein Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275205809 PECOS PAC ID: 2668863085 Enrollment ID: O20211220000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Dale Manley, MD 4436 Mangum Dr, Flowood, MS 39232-2113 Ph: () - | Dr Justin Dale Manley, MD 4436 Mangum Dr, Flowood, MS 39232-2113 Ph: (769) 243-6141 |
Dr. Suman Kumar Das, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2629 Courthouse Cir, Flowood, MS 39232 Phone: 601-362-0611 Fax: 601-362-0192 | |
Dr. Danon Eugenio Garrido Montes De Oca, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 601-586-7070 Fax: 601-586-7071 | |
Dr. Phillip Blaine Ley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 N Flowood Dr Ste A, Flowood, MS 39232 Phone: 601-933-6132 | |
William Darden North, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 River Oaks Dr, Flowood, MS 39232 Phone: 601-939-9778 Fax: 601-939-9416 |