| James D Gentry, MD | |
|
17540 E Main St, Louisville, MS 39339-2772 | |
| (662) 773-3503 | |
| (662) 773-6457 |
| Full Name | James D Gentry |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 17540 E Main St, Louisville, 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 |
|---|---|---|---|
| 1568756252 | NPI | - | NPPES |
| 04753519 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10041305 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 23268 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Mississippi Homecare Of Eupora | Eupora, MS | Home health agency |
| Quality Hospice Care, Inc | Philadelphia, MS | Hospice |
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Och Regional Medical Center | Starkville, MS | Hospital |
| Neshoba County General Hospital | Philadelphia, MS | Hospital |
| Louisville Healthcare Llc | Louisville, MS | Nursing home |
| Winston County Nursing Home | Louisville, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winston Medical Clinic Llc | 7214170968 | 11 |
| Winston Medical Clinic Llc | 7214170968 | 11 |
| Winston County Medical Foundation | 7315943255 | 28 |
| Entity Name | Winston County Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316078108 PECOS PAC ID: 7315943255 Enrollment ID: O20061017000019 |
| Entity Name | Winston Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629417324 PECOS PAC ID: 7214170968 Enrollment ID: O20130827000842 |
| Entity Name | Wmc Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336786235 PECOS PAC ID: 5698102465 Enrollment ID: O20200218000805 |
| Mailing Address | Practice Location Address |
|---|---|
| James D Gentry, MD Po Box 470, Louisville, MS 39339-0470 Ph: (662) 773-3503 | James D Gentry, MD 17540 E Main St, Louisville, MS 39339-2772 Ph: (662) 773-3503 |
Dr. James Glenn Peters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
Weston Dakota Eldridge, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 Fax: 662-446-1698 | |
Dr. Samuel Keith Suttle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
Dr. Roger L Nunez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14130 Highway 15 S Ste D, Louisville, MS 39339 Phone: 662-779-1175 Fax: 844-778-8922 | |
Dr. Michael L. Ard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17540 E Main Street, Louisville, MS 39339 Phone: 662-773-3503 Fax: 662-446-1039 |