| Edward A Brewer Jr, MD | |
|
3550 Highway 468 W, Whitfield, MS 39193-5529 | |
| (601) 351-8000 | |
| (601) 351-8031 |
| Full Name | Edward A Brewer Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3550 Highway 468 W, Whitfield, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831106418 | NPI | - | NPPES |
| 00120999 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13043 (Mississippi) | Primary |
| 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 | Crossgates Hma Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639401524 PECOS PAC ID: 8628100427 Enrollment ID: O20100714000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A Brewer Jr, MD Po Box 157a, Whitfield, MS 39193-0157 Ph: (601) 351-8000 | Edward A Brewer Jr, MD 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: (601) 351-8000 |
Ms. Karen Marie Whitney, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 3550 Hwy 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8586 | |
Dr. Wiiliam D Coughlin, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Zinat K Khandekar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Timothy D. Shumaker, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Stephen B. Shoop, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Craig Leopold Escude, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 |