| Shelby K Brantley, MD | |
|
1030 N Flowood Dr Ste A, Flowood, MS 39232-9532 | |
| (601) 387-9005 | |
| (601) 387-9006 |
| Full Name | Shelby K Brantley |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 39 Years |
| Location | 1030 N Flowood Dr Ste A, Flowood, 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 |
|---|---|---|---|
| 1679503023 | NPI | - | NPPES |
| 00114322 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 11700 (Mississippi) | Secondary |
| 2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 11700 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Plastic And Hand Surgery Associates Pllc | 4688642093 | 8 |
| Entity Name | Plastic & Hand Surgery Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932126695 PECOS PAC ID: 4688642093 Enrollment ID: O20040923000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby K Brantley, MD 1030 N Flowood Dr Ste A, Flowood, MS 39232-9532 Ph: (601) 387-9005 | Shelby K Brantley, MD 1030 N Flowood Dr Ste A, Flowood, MS 39232-9532 Ph: (601) 387-9005 |
Michael G Kanosky, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Kenneth R Barraza, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Dev Anand Manisundaram, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1030 N Flowood Dr Ste A, Flowood, MS 39232 Phone: 601-387-9005 Fax: 601-387-9006 | |
Adrian R Smith, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Eric E Wegener, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr, Suite 200, Flowood, MS 39232 Phone: 601-939-9999 Fax: 601-939-0590 | |
Mr. Rudolph Scott Runnels Jr., MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1055 River Oaks Drive, Flowood, MS 39232 Phone: 601-939-9778 Fax: 601-939-9416 |