| John Hollister, MD | |
|
103 Doctors Park, Starkville, MS 39759-2174 | |
| (662) 323-2515 | |
| (662) 323-2557 |
| Full Name | John Hollister |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 103 Doctors Park, Starkville, 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 |
|---|---|---|---|
| 1689617185 | NPI | - | NPPES |
| 562251777 | Other | MS | BLUE CROSS |
| 009979570 | Other | MS | ALABAMA MEDICAID |
| 00010599 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9135 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Eupora | Eupora, MS | Home health agency |
| Kindred At Home | Columbus, MS | Home health agency |
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Och Regional Medical Center | Starkville, MS | Hospital |
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Carrington, Llc D/b/a The Carrington | Starkville, MS | Nursing home |
| Starkville Manor Health Care And Rehabilitation Ce | Starkville, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kermit D Laird Md Pa | 5294829677 | 4 |
| Wmc Emergency Services Llc | 5698102465 | 10 |
| Winston County Medical Foundation | 7315943255 | 28 |
| Entity Name | Greenwood Leflore Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699714717 PECOS PAC ID: 1153399472 Enrollment ID: O20040923000500 |
| 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 | Kermit D Laird Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598830101 PECOS PAC ID: 5294829677 Enrollment ID: O20070915000282 |
| 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 |
|---|---|
| John Hollister, MD 103 Doctors Park, Starkville, MS 39759-2174 Ph: (662) 323-2515 | John Hollister, MD 103 Doctors Park, Starkville, MS 39759-2174 Ph: (662) 323-2515 |
Dr. Michael D Shaw, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-615-2503 Fax: 662-615-2554 | |
Dr. Jason E Pryor, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-323-4320 Fax: 662-615-2554 | |
Dr. Dallas W Butts, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Hospital Rd, Starkville, MS 39759 Phone: 662-615-2503 Fax: 662-615-2554 |