| Samuel Joshua Creekmore Iii, MD | |
|
216 Oxford Rd, New Albany, MS 38652-3115 | |
| (662) 534-9042 | |
| (662) 534-9707 |
| Full Name | Samuel Joshua Creekmore Iii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 54 Years |
| Location | 216 Oxford Rd, New Albany, 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 |
|---|---|---|---|
| 1578538591 | NPI | - | NPPES |
| 00013582 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 06178 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Union County | New albany, MS | Hospital |
| New Albany Health & Rehab Center | New albany, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creekmore Clinic, P.l.l.c. | 1052506961 | 9 |
| Entity Name | Creekmore Clinic, P.l.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073631164 PECOS PAC ID: 1052506961 Enrollment ID: O20101117000251 |
| Entity Name | Redmed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
| Entity Name | Wilco Healthcare Of North Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821556838 PECOS PAC ID: 8325389927 Enrollment ID: O20190924000713 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Joshua Creekmore Iii, MD 216 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-9042 | Samuel Joshua Creekmore Iii, MD 216 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-9042 |
Melissa Jean Vinson, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 474 W Bankhead St, New Albany, MS 38652 Phone: 662-534-7777 Fax: 662-534-7777 | |
Jennifer Thompson-davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 Fax: 662-534-9696 | |
Dr. Curtis Ross Glidewell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 Fax: 662-534-9696 | |
Stephen Milan Shirley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Doctors Dr, New Albany, MS 38652 Phone: 662-534-5036 Fax: 662-534-9696 | |
Ronald B Scott, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Oxford Rd, New Albany, MS 38652 Phone: 662-534-9042 Fax: 662-534-9707 | |
Mrs. Marley Rumbarger, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 188 Starlyn Ave, New Albany, MS 38652 Phone: 662-486-2700 |