| Edward Thomas Cullom Iii, MD | |
|
1029 River Oaks Dr, Flowood, MS 39232-9554 | |
| (601) 664-1000 | |
| (601) 664-2777 |
| Full Name | Edward Thomas Cullom Iii |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 38 Years |
| Location | 1029 River Oaks Dr, 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 |
|---|---|---|---|
| 1710997135 | NPI | - | NPPES |
| 05883835 | Medicaid | MS | |
| 01409383 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 11803 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Foundation Of Central Mississippi Inc | 1153216411 | 246 |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | E Thomas Cullom Iii Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326294158 PECOS PAC ID: 8729156971 Enrollment ID: O20081001000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Thomas Cullom Iii, MD 1029 River Oaks Dr, Flowood, MS 39232-9554 Ph: (601) 664-1000 | Edward Thomas Cullom Iii, MD 1029 River Oaks Dr, Flowood, MS 39232-9554 Ph: (601) 664-1000 |
Dr. Kelsey Duncan Walsh, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Dr, Flowood, MS 39232 Phone: 601-983-2859 | |
Dr. John D Davis Iv, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 601-936-0400 Fax: 601-936-0401 | |
Matthew Arrington Vanlandingham, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Dr, Flowood, MS 39232 Phone: 601-420-1930 | |
Dr. John C Neill, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 | |
Dr. Eric W Amundson, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 | |
Dr. John L Moriarity, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 | |
Dr. Walton Lynn Stringer, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 |