| Eugene B Ferris, MD | |
| 2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-5000 | |
| Not Available | 
| Full Name | Eugene B Ferris | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 2100 Highway 61 N, Vicksburg, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235168626 | NPI | - | NPPES | 
| 4636740 | Other | MS | AETNA | 
| 0114431 | Medicaid | MS | |
| 00114431 | Medicaid | MS | |
| 1654418 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 14254 (Mississippi) | Primary | 
| Entity Name | Vicksburg Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eugene B Ferris, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 | Eugene B Ferris, MD 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 | 
| Joshua M. Holifield, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 Fax: 601-883-7803 | |
| Henry M Jarmon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
| Dr. Stephen D Sudderth, MD Surgery Medicare: Medicare Enrolled Practice Location: 188 Ymca Pl, Vicksburg, MS 39183 Phone: 601-636-7222 Fax: 601-636-0440 |