Ethel S Beasley (NPI# 1154321354, PAC ID# 4486617602) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154321354 |
| PAC ID by PECOS | 4486617602 |
| Professional Enrollment ID | I20141003002256 |
| Full Name | Ethel S Beasley |
| Organization Legal Name | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Address |
210 Hospital Cir Choctaw MS 39350-6781 |
| Phone Number | 6013894500 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 4385546662 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250127 | CHOCTAW HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 Hospital Cir, Choctaw, MS 39350-6781 | 6013894500 | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Organization Legal Name | MISSISSIPPI BAND OF CHOCTAW INDIANS |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary T Smith | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Aishia L Keady | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Lasteffia J Todd | Nurse Practitioner | Mississippi Band of Choctaw Indians | 124 Big Creek Cir, Philadelphia, MS 39350-9004 |
| Michelle S Atkinson | Nurse Practitioner | Mississippi Band of Choctaw Indians | 1930 N Pearl St, Red Water Satellite, Carthage, MS 39051-8220 |
| Chandrashekhar V Joshi | Family Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Shannon V Johnson | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Kimberly L Eldridge | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Nestor L Olivo Crespo | Internal Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Lesa A Waters | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Teresa K Cumberland | Nurse Practitioner | Mississippi Band of Choctaw Indians | 376 Campus Rd, Conehatta, MS 39057-2800 |
| Street Address |
210 HOSPITAL CIR |
| City | CHOCTAW |
| State | MS |
| Zip | 39350-6781 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aishia L Keady | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Chandrashekhar V Joshi | Family Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Shannon V Johnson | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Kimberly L Eldridge | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Nestor L Olivo Crespo | Internal Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Eldon Samuel | Emergency Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Mohamed B Jah | Family Medicine | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Tiffany S Price | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Donna Snow | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Tiah R York | Nurse Practitioner | Mississippi Band of Choctaw Indians | 210 Hospital Cir, Choctaw, MS 39350-6781 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer W Phillips | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Tina S Boyles | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Paula S Clearman | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Elizabeth A Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Donald G Guild | Family Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Hailey Elizabeth Thompson | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Dwight S Keady Jr Jr. | Internal Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Verena T Valley | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Z Mccool | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Find all physicians in zip 39350 | |||
| City | CHOCTAW |
| Zip Code | 39350 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHOCTAW + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ethel S Beasley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.