| Dr Kerry Todd Lee, MD | |
|
1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 | |
| (662) 226-5747 | |
| (662) 226-5622 |
| Full Name | Dr Kerry Todd Lee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1300 Sunset Dr, Grenada, 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 |
|---|---|---|---|
| 1467470799 | NPI | - | NPPES |
| 080175512 | Other | MS | RAILROAD MEDICARE |
| CH9466 | Other | MS | RAILROAD MEDICARE GROUP |
| 09014826 | Medicaid | MS | |
| 09013778 | Medicaid | MS | |
| 1700994738 | Other | MS | PECOS |
| 640835695 | Other | MS | BC/BS OF MISSISSIPPI |
| 0112670 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12517 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Greenwood, MS | Home health agency |
| Sunflower Home Health | Cleveland, MS | Home health agency |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kerry Todd Lee, MD 1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 Ph: (662) 226-5747 | Dr Kerry Todd Lee, MD 1300 Sunset Dr, Suite F, Grenada, MS 38901-4086 Ph: (662) 226-5747 |
James K Stanford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901 Phone: 662-227-1744 Fax: 662-226-1116 | |
Audrey Kathryn Bailey, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Lark Dr, Grenada, MS 38901 Phone: 166-280-9245 | |
Dr. Mal S. Riddell, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 Sunset Dr, Suite B, Grenada, MS 38901 Phone: 662-226-6430 Fax: 662-226-0018 | |
Andrea Jemae Collins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7008 | |
Micah Mckee, MS, ATC, LAT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 416 Geeslin Rd, Grenada, MS 38901 Phone: 601-513-1231 | |
Dr. Ralph Criss Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Suite F, Grenada, MS 38901 Phone: 662-226-5747 Fax: 662-226-5622 |