| John R Barnes, MD | |
|
1901 Mission 66, Vicksburg, MS 39180-3711 | |
| (601) 636-0097 | |
| (601) 629-9969 |
| Full Name | John R Barnes |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 1901 Mission 66, Vicksburg, 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 |
|---|---|---|---|
| 1205865680 | NPI | - | NPPES |
| 1132756 | Medicaid | LA | |
| 00114084 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09749 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Hospice Of West Mississippi, Llc | Clinton, MS | Hospice |
| Merit Health River Region | Vicksburg, MS | Hospital |
| Vicksburg Convalescent Center | Vicksburg, MS | Nursing home |
| Shady Lawn Health And Rehabilitation | Vicksburg, MS | Nursing home |
| Heritage House Nursing Center | Vicksburg, MS | Nursing home |
| Entity Name | Mission Primary Care Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487852018 PECOS PAC ID: 5890764914 Enrollment ID: O20040927000415 |
| Entity Name | J Russell Barnes Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326289612 PECOS PAC ID: 8820062045 Enrollment ID: O20090820000808 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Barnes, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 | John R Barnes, MD 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-0097 |
Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244 | |
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 | |
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271 | |
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838 | |
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Breanna Heard-pinho, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-1050 Fax: 601-631-2337 |