| Joseph P Shrum, MD | |
| 1245 42nd Ave, Gulfport, MS 39501-2666 | |
| (228) 864-8049 | |
| (228) 864-7655 | 
| Full Name | Joseph P Shrum | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology | 
| Location | 1245 42nd Ave, Gulfport, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417040213 | NPI | - | NPPES | 
| 11871 | Other | MS | MEDICAL LIC | 
| 1316202 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | 11871 (Mississippi) | Primary | 
| Entity Name | Tulane Dermatology Affiliates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1821285438 PECOS PAC ID: 7416924212 Enrollment ID: O20040913000138 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph P Shrum, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 | Joseph P Shrum, MD 1245 42nd Ave, Gulfport, MS 39501-2666 Ph: (228) 864-8049 | 
| Dr. Robert C Wessler, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1118 Broad Ave, Gulfport, MS 39501 Phone: 228-863-7115 Fax: 228-863-2723 | |
| Dr. Gwendolyn Ann Crane, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1304 44th Ave, Gulfport, MS 39501 Phone: 228-868-4006 Fax: 228-822-2461 | |
| Dr. Alan Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1245 42nd Ave, Gulfport, MS 39501 Phone: 228-864-8049 Fax: 228-864-7655 | |
| Dr. Angela Booth Wingfield, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503 Phone: 228-864-3300 |