| Dr Phillip Blaine Ley, MD | |
|
1020 N Flowood Dr Ste A, Flowood, MS 39232-9532 | |
| (601) 933-6132 | |
| Not Available |
| Full Name | Dr Phillip Blaine Ley |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 1020 N Flowood Dr Ste A, 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 |
|---|---|---|---|
| 1790890499 | NPI | - | NPPES |
| 000116599 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 14786 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Women's Hospital | Flowood, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Oaks Management Company Llc | 0345233110 | 38 |
| Entity Name | River Oaks Management Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
| Entity Name | Flowood River Oaks Hma Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip Blaine Ley, MD Po Box 321359, Flowood, MS 39232-1359 Ph: (601) 936-1395 | Dr Phillip Blaine Ley, MD 1020 N Flowood Dr Ste A, Flowood, MS 39232-9532 Ph: (601) 933-6132 |
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. Justin Dale Manley, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4436 Mangum Dr, Flowood, MS 39232 Phone: 769-243-6141 | |
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 |