| Dr Mary Ellis Pace, MD | |
|
1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 | |
| (662) 840-2131 | |
| (662) 840-2522 |
| Full Name | Dr Mary Ellis Pace |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1265 Cliff Gookin Blvd, 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 |
|---|---|---|---|
| 1912946450 | NPI | - | NPPES |
| 00115036 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 07345 (Mississippi) | Primary |
| Entity Name | Tupelo Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396783916 PECOS PAC ID: 2769482439 Enrollment ID: O20070102000397 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ellis Pace, MD 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 Ph: (662) 840-2131 | Dr Mary Ellis Pace, MD 1265 Cliff Gookin Blvd, Tupelo, MS 38801-6749 Ph: (662) 840-2131 |
Dr. Marcus Louis Britton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-4711 | |
John O Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654 | |
Dr. Michael Ted Boler Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6950 | |
Christy Tucker Oswalt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-842-7870 Fax: 662-842-7873 | |
Vernon A Rayford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 | |
Dr. Frankie Edward Stanley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 S Spring St, Tupelo, MS 38804 Phone: 662-205-0098 Fax: 662-495-4079 | |
Stephen T Amann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 |