| Michael Depasquale, | |
|
3550 Highway 468 W, Whitfield, MS 39193-5529 | |
| (601) 351-8000 | |
| Not Available |
| Full Name | Michael Depasquale |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3550 Highway 468 W, Whitfield, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740913128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | T-4581 (Mississippi) | Primary |
| Entity Name | Tbd Acquisition Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750891792 PECOS PAC ID: 7911272257 Enrollment ID: O20171219001761 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Depasquale, 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: () - | Michael Depasquale, 3550 Highway 468 W, Whitfield, MS 39193-5529 Ph: (601) 351-8000 |
Dr. Luther Joseph Ward, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Mississippi State Hospital, Po Box 157a, Building 25, Whitfield, MS 39193 Phone: 601-351-8596 | |
Dr. Holden Blayne Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W Bldg 25, Whitfield, MS 39193 Phone: 601-351-8596 Fax: 601-351-8551 | |
Caleb Buckner, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Po Box 157a, Whitfield, MS 39193 Phone: 601-351-8555 | |
Joseph Winters, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 | |
Dr. Patrick Michael Fitz-gerald, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-8000 | |
Thomas Vincent Recore, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Whitfield, MS 39193 Phone: 601-351-0000 | |
Dr. Reb Mcmichael, M. D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 West, Whitfield, MS 39193 Phone: 601-351-8000 Fax: 601-351-8301 |