Dr Kendrick Ladel Sparks, MD | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(601) 649-2863 | |
Not Available |
Full Name | Dr Kendrick Ladel Sparks |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 12 Years |
Location | 1220 Jefferson St, Laurel, 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 |
---|---|---|---|
1568584019 | NPI | - | NPPES |
02589533 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 24476 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Clinton, MS | Home health agency |
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Merit Health River Oaks | Flowood, MS | Hospital |
Tyler Holmes Memorial Hospital Cah | Winona, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grenada Physician Services, Llc | 4284965773 | 13 |
Mississippi Hma Hospitalists Llc | 5991972077 | 16 |
Entity Name | Mississippi Hma Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
Entity Name | Keystone Hospitalist Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Entity Name | Hospitalist Services Of Meridian Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383 |
Entity Name | Grenada Physician Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932762721 PECOS PAC ID: 4284965773 Enrollment ID: O20191015001194 |
Mailing Address | Practice Location Address |
---|---|
Dr Kendrick Ladel Sparks, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 649-2863 | Dr Kendrick Ladel Sparks, MD 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 649-2863 |