| Joshua M Holifield, DO | |
|
2100 Highway 61 N, Vicksburg, MS 39183-8211 | |
| (601) 883-5000 | |
| (601) 883-7803 |
| Full Name | Joshua M Holifield |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 2100 Highway 61 N, 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 |
|---|---|---|---|
| 1194174755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | PG177501 (Oregon) | Secondary |
| 208600000X | Surgery | 28757 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Magee General Hospital | Magee, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Clinics, Inc | 4385876655 | 108 |
| Entity Name | Vicksburg Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
| Entity Name | Southern Surgical Associates, P. A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265551162 PECOS PAC ID: 6507820560 Enrollment ID: O20041118000746 |
| Entity Name | Wesley Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua M Holifield, DO 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 | Joshua M Holifield, DO 2100 Highway 61 N, Vicksburg, MS 39183-8211 Ph: (601) 883-5000 |
Eugene B Ferris, MD Surgery Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Henry M Jarmon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Dr. Stephen D Sudderth, MD Surgery Medicare: Medicare Enrolled Practice Location: 188 Ymca Pl, Vicksburg, MS 39183 Phone: 601-636-7222 Fax: 601-636-0440 |