| Richard John Miles, DO | |
|
1850 Chadwick Dr, Jackson, MS 39204-3404 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Richard John Miles |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 1850 Chadwick Dr, Jackson, 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 |
|---|---|---|---|
| 1316987175 | NPI | - | NPPES |
| 1323454 | Medicaid | LA | |
| 09621896 | Medicaid | MS | |
| 202011213A | Other | MS | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 19044 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center-leake | Carthage, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Baptist Medical Center-yazoo | Yazoo city, MS | Hospital |
| Baptist Medical Center - Yazoo, Inc. | Yazoo city, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leake Emergency Group, Llc | 4486985256 | 15 |
| Correct Care, Inc. | 8628980992 | 96 |
| Yazoo Emergency Group, Llc | 0749511574 | 19 |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | Keystone Medical Services of MS Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Entity Name | App of Mississippi Ed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Medical Services of Meridian Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
| Entity Name | Leake Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669028130 PECOS PAC ID: 4486985256 Enrollment ID: O20191009000078 |
| Entity Name | Yazoo Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
| Entity Name | Grenada Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
| Entity Name | Jackson HB Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Entity Name | Bear Creek Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750252623 PECOS PAC ID: 8820587629 Enrollment ID: O20251031000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard John Miles, DO Po Box 75473, Baltimore, MD 21275-5473 Ph: (904) 805-1300 | Richard John Miles, DO 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (904) 805-1300 |
Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 |
David Alex Monaco, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-2832 |
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616 |
Bob Hutchins, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Ellis Ave, Jackson, MS 39209 Phone: 601-533-7016 |
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000 |
Jeremy James Benoit, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5582 |
Chad Allen Rhoden, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 |