| Jon M Boyles, MD | |
|
1001 Holland Ave, Philadelphia, MS 39350-2161 | |
| (601) 663-1200 | |
| (601) 663-1379 |
| Full Name | Jon M Boyles |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1001 Holland Ave, Philadelphia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396787180 | NPI | - | NPPES |
| 07223246 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 17849 (Mississippi) | Primary |
| Entity Name | Neshoba County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114057247 PECOS PAC ID: 6204738289 Enrollment ID: O20040121000618 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon M Boyles, MD Po Box 648, Philadelphia, MS 39350-0648 Ph: (601) 663-1200 | Jon M Boyles, MD 1001 Holland Ave, Philadelphia, MS 39350-2161 Ph: (601) 663-1200 |
Kevin Lee Beason, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10151 Road 1343, Philadelphia, MS 39350 Phone: 601-955-7829 | |
Linus Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Holland Ave, Philadelphia, MS 39350 Phone: 601-663-1200 Fax: 601-663-1379 | |
Dr. Jonathan William Marks, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1001 Holland Ave, Philadelphia, MS 39350 Phone: 601-896-5639 |