| Genti Tahiraj, MD | |
|
830 S Gloster St, Tupelo, MS 38801-4934 | |
| (615) 477-8401 | |
| Not Available |
| Full Name | Genti Tahiraj |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 830 S Gloster St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225299035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 21507 (Mississippi) | Primary |
| Entity Name | United Emergency Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040903000729 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Genti Tahiraj, MD 830 S Gloster St, Tupelo, MS 38801-4934 Ph: (615) 477-8401 | Genti Tahiraj, MD 830 S Gloster St, Tupelo, MS 38801-4934 Ph: (615) 477-8401 |
Dr. Robert Carson Kirksey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 866-754-3852 Fax: 205-313-5245 | |
Janice Mitchell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 W Main St, Tupelo, MS 38804 Phone: 662-432-4106 | |
Donna B. Pritchard, NP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 830 S. Gloster St., Tupelo, MS 38801 Phone: 800-893-9698 | |
William M Kirksey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 866-754-3852 Fax: 205-313-5245 | |
Dr. Buford L Lambert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5221b Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-620-8123 Fax: 662-620-8131 | |
John A Cantrell, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 866-754-3852 Fax: 205-313-5245 |