Weston Dakota Eldridge, | |
14724 Highway 15 N, Louisville, MS 39339-6318 | |
(662) 773-7500 | |
(662) 446-1698 |
Full Name | Weston Dakota Eldridge |
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Gender | Male |
Speciality | Family Medicine |
Location | 14724 Highway 15 N, Louisville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134703366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 30376 (Mississippi) | Primary |
Entity Name | Choctaw Regional Medical Center |
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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 |
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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: Accepting Medicare Assignments 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 |