| John Stanback, MD | |
|
2600 5th St N, Columbus, MS 39705-2010 | |
| (662) 244-2960 | |
| (662) 244-2964 |
| Full Name | John Stanback |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 2600 5th St N, Columbus, 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 |
|---|---|---|---|
| 1629034764 | NPI | - | NPPES |
| 00112134 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13912 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Columbus, MS | Home health agency |
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Memorial Medical Group, Inc. | 5193610228 | 573 |
| Entity Name | Dutch Medical Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
| Mailing Address | Practice Location Address |
|---|---|
| John Stanback, MD 350 N Humphreys Blvd, Memphis, TN 38120-2177 Ph: (901) 226-4003 | John Stanback, MD 2600 5th St N, Columbus, MS 39705-2010 Ph: (662) 244-2960 |
Dr. Stefanie Lee Shaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Koritz Clinic 201 Independence Drive, Columbus, MS 39710 Phone: 662-434-2292 | |
Dr. Ryan Wendt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 | |
Aaron Josias Salazar, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 201 Independence Bldg 1100, Columbus, MS 39710 Phone: 662-434-2377 | |
Dr. Gerald Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
Robert L Buckley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
Shemille D Flinta, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514 5th Ave S, Columbus, MS 39701 Phone: 847-212-8404 |