| Thomas Aycock, MD | |
|
2520 5th St N, Columbus, MS 39705-2008 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Thomas Aycock |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2520 5th St N, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548203946 | NPI | - | NPPES |
| 00017855 | Medicaid | MS | |
| 73006358AYC | Other | MS | ALABAMA BLUE CROSS |
| P00191279 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 9808 (Mississippi) | Primary |
| Entity Name | United Emergency Services Of Mississippi |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801983309 PECOS PAC ID: 9739188046 Enrollment ID: O20061214000504 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Aycock, MD Po Box 75473, Baltimore, MD 21275-5473 Ph: (904) 805-1300 | Thomas Aycock, MD 2520 5th St N, Columbus, MS 39705-2008 Ph: (904) 805-1300 |
Patti Manning, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 904-805-1300 Fax: 904-805-1302 | |
Marcus Crittenden, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 904-805-1300 Fax: 904-805-1302 | |
Edward Riley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 904-805-1300 Fax: 904-805-1302 | |
Joel Butler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 904-805-1300 Fax: 904-805-1302 | |
Dr. Clifton Shane Scott, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000 Fax: 662-244-1651 | |
Keith Mccoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 904-805-1300 Fax: 904-805-1302 |