Mark A Deloach, MD | |
16 S Sixth St, Bay Springs, MS 39422-9055 | |
(601) 764-4501 | |
(601) 764-2310 |
Full Name | Mark A Deloach |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 16 S Sixth St, Bay Springs, 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 |
---|---|---|---|
1679681894 | NPI | - | NPPES |
822838 | Other | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 14545 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home -flowood | Flowood, MS | Home health agency |
Pro Care Home Health | Bay springs, MS | Home health agency |
Jasper General Hospital | Bay springs, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Calhoun Medical Clinic Llc | 0941596084 | 5 |
Raleigh Family Health Clinic Pllc | 5799902789 | 8 |
Entity Name | Raleigh Family Health Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497173942 PECOS PAC ID: 5799902789 Enrollment ID: O20140815000301 |
Entity Name | Calhoun Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558713511 PECOS PAC ID: 0941596084 Enrollment ID: O20160915001795 |
Entity Name | Pine Ridge Family Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366075236 PECOS PAC ID: 3274964283 Enrollment ID: O20200507000420 |
Mailing Address | Practice Location Address |
---|---|
Mark A Deloach, MD Po Box 723, Bay Springs, MS 39422-0723 Ph: (601) 340-3544 | Mark A Deloach, MD 16 S Sixth St, Bay Springs, MS 39422-9055 Ph: (601) 764-4501 |
A Keith Lay Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 604-764-2143 | |
Alison L Holder, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 27 S Sixth St, Bay Springs, MS 39422 Phone: 601-764-2155 Fax: 601-764-2150 | |
Ngozi O Onwubiko, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 433 Highway 18, Bay Springs, MS 39422 Phone: 601-764-2143 Fax: 601-764-4890 |