| William Ensor Brohawn Iii, MD | |
|
3018 Plantation Cir W, Tupelo, MS 38804-9717 | |
| (662) 401-5123 | |
| Not Available |
| Full Name | William Ensor Brohawn Iii |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 3018 Plantation Cir W, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164480109 | NPI | - | NPPES |
| 00122484 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16756 (Mississippi) | Primary |
| Entity Name | Southern Health Corp Of Houston, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942484365 PECOS PAC ID: 0042102352 Enrollment ID: O20040422000717 |
| Entity Name | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Entity Name | Comprehensive Hospitalists Of Ms, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467856385 PECOS PAC ID: 6709101322 Enrollment ID: O20150202001604 |
| Entity Name | Hospitalist Services Of Meridian Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383 |
| 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 |
|---|---|
| William Ensor Brohawn Iii, MD 3018 Plantation Cir W, Tupelo, MS 38804-9717 Ph: (662) 401-5123 | William Ensor Brohawn Iii, MD 3018 Plantation Cir W, Tupelo, MS 38804-9717 Ph: (662) 401-5123 |
Dr. Marcus Louis Britton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-4711 | |
John O Phillips, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 Fax: 662-680-5654 | |
Dr. Michael Ted Boler Jr., D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-620-6950 | |
Christy Tucker Oswalt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-842-7870 Fax: 662-842-7873 | |
Vernon A Rayford, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 | |
Dr. Frankie Edward Stanley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 S Spring St, Tupelo, MS 38804 Phone: 662-205-0098 Fax: 662-495-4079 | |
Stephen T Amann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 589 Garfield St Ste 201, Tupelo, MS 38801 Phone: 662-680-5565 |