| Weston Dakota Eldridge, | |
|
14724 Highway 15 N, Louisville, MS 39339-6318 | |
| (662) 773-7500 | |
| (662) 446-1698 |
| Full Name | Weston Dakota Eldridge |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 14724 Highway 15 N, Louisville, 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 |
|---|---|---|---|
| 1134703366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30376 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Columbus, MS | Home health agency |
| Choctaw Regional Medical Center | Ackerman, MS | Hospital |
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Regional Medical Center | 2567682206 | 32 |
| Entity Name | Choctaw Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235547878 PECOS PAC ID: 2567682206 Enrollment ID: O20141215002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Weston Dakota Eldridge, 98 Serene Hls, Hattiesburg, MS 39402-8567 Ph: (769) 798-8991 | Weston Dakota Eldridge, 14724 Highway 15 N, Louisville, MS 39339-6318 Ph: (662) 773-7500 |
Dr. James Glenn Peters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
Dr. Samuel Keith Suttle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14724 Highway 15 N, Louisville, MS 39339 Phone: 662-773-7500 | |
James D Gentry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17540 E Main St, Louisville, MS 39339 Phone: 662-773-3503 Fax: 662-773-6457 | |
Dr. Roger L Nunez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14130 Highway 15 S Ste D, Louisville, MS 39339 Phone: 662-779-1175 Fax: 844-778-8922 | |
Dr. Michael L. Ard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17540 E Main Street, Louisville, MS 39339 Phone: 662-773-3503 Fax: 662-446-1039 |