| Mr Timothy J Micek, MD | |
|
3964 Goodman Rd E, Suite 128, Southaven, MS 38672-8761 | |
| (662) 420-7350 | |
| (662) 874-5214 |
| Full Name | Mr Timothy J Micek |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3964 Goodman Rd E, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124106133 | NPI | - | NPPES |
| 01988867 | Medicaid | MS |
| Entity Name | Mercy Specialty Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386832764 PECOS PAC ID: 3375639586 Enrollment ID: O20071019000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy J Micek, MD 3964 Goodman Rd, Ste 128, Southaven, MS 38672-6494 Ph: (662) 420-7350 | Mr Timothy J Micek, MD 3964 Goodman Rd E, Suite 128, Southaven, MS 38672-8761 Ph: (662) 420-7350 |
Dr. William Jacob Weller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 |
Mrs. Marie Joyce Barron, PT, OCS, CMT Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 |
Dr. John Tom Morris Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 901-259-1600 Fax: 901-259-1698 |
Gregory D Dabov, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 Fax: 901-759-3196 |
Benjamin West Sheffer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 Fax: 901-759-3196 |
Dr. Claiborne Ashby Christian, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 901-641-3000 Fax: 901-259-1698 |