Ms Mary S Missak, MD | |
7680 Airways Blvd, Southaven, MS 38671-5304 | |
(662) 349-1999 | |
(662) 349-9734 |
Full Name | Ms Mary S Missak |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 45 Years |
Location | 7680 Airways Blvd, Southaven, 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 |
---|---|---|---|
1962507061 | NPI | - | NPPES |
3152270 | Other | TN | BLUE CROSS |
00122932 | Other | MAILHANDLERS | |
640922089001 | Other | TN | CHAMPUS |
00122932 | Medicaid | MS | |
3149420 | Other | TN | TN BLUE CROSS FOR MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16715 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Greenwood, MS | Home health agency |
Homechoice Health Services, Inc | Hernando, MS | Home health agency |
Compassus - Memphis | Southaven, MS | Hospice |
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Baptist Memorial Hospital Union County | New albany, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Hospital-desoto, Inc. | 5597758755 | 14 |
Southaven Internal Medicine, P.c. | 7416858683 | 2 |
Entity Name | Baptist Memorial Hospital-desoto, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194789818 PECOS PAC ID: 5597758755 Enrollment ID: O20040405001337 |
Entity Name | Southaven Internal Medicine, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932259355 PECOS PAC ID: 7416858683 Enrollment ID: O20110126000722 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary S Missak, MD 7680 Airways Blvd, Southaven, MS 38671-5304 Ph: (662) 349-1999 | Ms Mary S Missak, MD 7680 Airways Blvd, Southaven, MS 38671-5304 Ph: (662) 349-1999 |
Shan Shah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Sohail A Minhas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671 Phone: 662-349-2442 Fax: 662-349-8551 | |
Mr. Mahfuzur Rahman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 728 Goodman Rd E, Ste 2, Southaven, MS 38671 Phone: 662-349-1750 Fax: 662-349-2350 | |
Dr. Jimmy Darrell Sneed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671 Phone: 901-271-1000 Fax: 901-271-4187 | |
Dr. Lily Herbert, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7680 Airways Blvd, Southaven, MS 38671 Phone: 662-349-1999 Fax: 662-349-9734 | |
Dr. Michael Henry Vaughan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Nfn Sumedha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 |