| Dr Phyllis Elaine Mason, MD | |
|
620 Crossover Road, Tupelo, MS 38801-4944 | |
| (662) 620-7101 | |
| (662) 842-1457 |
| Full Name | Dr Phyllis Elaine Mason |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 59 Years |
| Location | 620 Crossover Road, Tupelo, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881636645 | NPI | - | NPPES |
| 02284339 | Medicaid | MS | |
| 300138467 | Other | MS | RAILROAD MEDICARE |
| 009919405 | Medicaid | AL | |
| 300001102 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 06656 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Highland Hills Medical Center | Senatobia, MS | Hospital |
| Webster General Hospital/ Swing Bed | Eupora, MS | Hospital |
| Monroe Regional Hospital | Aberdeen, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Radiology Inc | 2769452242 | 26 |
| Baptist Memorial Hospital - Calhoun Inc | 5395024210 | 24 |
| Winston County Medical Foundation | 7315943255 | 29 |
| Tate County Hospital | 6103282165 | 35 |
| Premier Radiology Inc | 2769452242 | 26 |
| Entity Name | Premier Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20060123000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phyllis Elaine Mason, MD Po Box 830525, Dept. #r24, Birmingham, AL 35283-0525 Ph: (662) 842-1758 | Dr Phyllis Elaine Mason, MD 620 Crossover Road, Tupelo, MS 38801-4944 Ph: (662) 620-7101 |
Dr. Anthony David Junck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 Fax: 662-844-8298 |
Gillbert Daryl Hallman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 |
Dr. Robert Conrad Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |
Dr. William Ray Reed Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 990 South Madison Street, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |
Dr. William Russell Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 |
Dr. Eric Ward Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |
Dr. William Chase Henson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 |