| Mark T Phillips, MD | |
|
1600 22nd Ave, Medical Towers Iii, 3rd Floor, Meridian, MS 39301-3223 | |
| (601) 693-1055 | |
| (601) 482-5312 |
| Full Name | Mark T Phillips |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 41 Years |
| Location | 1600 22nd Ave, Meridian, 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 |
|---|---|---|---|
| 1821124728 | NPI | - | NPPES |
| 0110336 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 11068 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Physician Alliance Inc | 3274727318 | 64 |
| Entity Name | Meridian Medical Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316051766 PECOS PAC ID: 7113947797 Enrollment ID: O20051128000639 |
| Entity Name | Anderson Physician Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Phillips, MD Po Box 749215, Atlanta, GA 30374-9215 Ph: (901) 226-3186 | Mark T Phillips, MD 1600 22nd Ave, Medical Towers Iii, 3rd Floor, Meridian, MS 39301-3223 Ph: (601) 693-1055 |
Stanley A. Wade Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9223 Fax: 601-703-9405 | |
Robert E Dilworth, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1600 22nd Ave, Medical Towers 3, 3rd Fl, Meridian, MS 39301 Phone: 601-693-1055 Fax: 601-482-5312 | |
Richard M. Vise, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9223 Fax: 601-703-9405 |