| Dr Michael Stacy Thaggard, MD | |
|
1203 24th Ave, Meridian, MS 39301-3926 | |
| (601) 693-5862 | |
| (601) 693-9314 |
| Full Name | Dr Michael Stacy Thaggard |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 1203 24th Ave, Meridian, 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 |
|---|---|---|---|
| 1659352011 | NPI | - | NPPES |
| 00113689 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 12892 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Anderson Regional Medical Center South Campus | Meridian, MS | Hospital |
| Whitfield Medical Surgical Hospital | Whitfield, MS | Hospital |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi State Hospital At Whitfield | 5294727533 | 19 |
| Medical Foundation Inc | 9234043712 | 116 |
| Meridian Imaging, Pa | 9234215625 | 4 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Mississippi State Hospital At Whitfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336224179 PECOS PAC ID: 5294727533 Enrollment ID: O20040330000795 |
| Entity Name | Meridian Imaging, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962682468 PECOS PAC ID: 9234215625 Enrollment ID: O20080326000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Stacy Thaggard, MD Po Box 5653, Meridian, MS 39302-5653 Ph: (601) 693-5862 | Dr Michael Stacy Thaggard, MD 1203 24th Ave, Meridian, MS 39301-3926 Ph: (601) 693-5862 |
Dr. Ralph E. Williams, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Rush Medical Group Inc., Meridian, MS 39301 Phone: 601-703-9544 Fax: 601-703-9936 | |
Dr. Mary Ann Cowart, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 | |
Dr. Charles Adrian Ray Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6701 | |
Sandra H. Pupa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1730a 14th St, Meridian, MS 39301 Phone: 601-703-4395 Fax: 601-703-4394 | |
Dr. Amy Ball Coleman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-485-1015 Fax: 601-693-9314 | |
Dr. William D. Armstrong, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1203 24th Ave, Meridian, MS 39301 Phone: 601-693-5862 Fax: 601-693-9314 |