| Mr Rudolph Scott Runnels Jr, MD | |
|
1055 River Oaks Drive, Flowood, MS 39232-9595 | |
| (601) 939-9778 | |
| (601) 939-9416 |
| Full Name | Mr Rudolph Scott Runnels Jr |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 33 Years |
| Location | 1055 River Oaks Drive, Flowood, 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 |
|---|---|---|---|
| 1639221179 | NPI | - | NPPES |
| 00115139 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 13960 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rs Runnels Jr Md Pllc | 5799730941 | 2 |
| Entity Name | Rs Runnels Jr Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346424298 PECOS PAC ID: 5799730941 Enrollment ID: O20050321000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rudolph Scott Runnels Jr, MD 1055 River Oaks Drive, Flowood, MS 39232-9595 Ph: (601) 939-9778 | Mr Rudolph Scott Runnels Jr, MD 1055 River Oaks Drive, Flowood, MS 39232-9595 Ph: (601) 939-9778 |
Michael G Kanosky, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Kenneth R Barraza, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Dev Anand Manisundaram, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1030 N Flowood Dr Ste A, Flowood, MS 39232 Phone: 601-387-9005 Fax: 601-387-9006 | |
Adrian R Smith, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Eric E Wegener, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Shelby K Brantley, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1030 N Flowood Dr Ste A, Flowood, MS 39232 Phone: 601-387-9005 Fax: 601-387-9006 |