| Ms Dedri Markita Ivory, MD | |
|
3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506 | |
| (601) 501-6991 | |
| (601) 501-6987 |
| Full Name | Ms Dedri Markita Ivory |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 20 Years |
| Location | 3510 Pemberton Square Blvd, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851585004 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health River Region | Vicksburg, MS | Hospital |
| Merit Health Natchez | Natchez, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River City Medical And Arthritis Center Llc | 2668769472 | 2 |
| Entity Name | River City Medical And Arthritis Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508229378 PECOS PAC ID: 2668769472 Enrollment ID: O20160922000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Dedri Markita Ivory, MD 3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506 Ph: (601) 501-6991 | Ms Dedri Markita Ivory, MD 3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506 Ph: (601) 501-6991 |
Michael L Davis, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-630-9755 | |
Murray P Whitaker, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Dr. Charles A. Marascalco, MD Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-4373 Fax: 601-883-4309 | |
Dr. Raman Jeet Sohal, Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180 Phone: 601-738-5549 | |
Dr. Karan Puri, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Albert F Chiemprabha, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1815 Mission 66, Vicksburg, MS 39180 Phone: 601-355-1234 Fax: 601-326-3559 | |
Dr. Karthik Yeruva, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5946 |