Samuel M Allen Ii (NPI# 1003898412, PAC ID# 8426158247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1003898412 |
| PAC ID by PECOS | 8426158247 |
| Professional Enrollment ID | I20070710000265 |
| Full Name | Samuel M Allen Ii |
| Organization Legal Name | RUSH MEDICAL FOUNDATION |
| Address |
603 S Archusa Ave Quitman MS 39355-2331 |
| Phone Number | 6017762123 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | EMERGENCY MEDICINE, GENERAL PRACTICE |
| Group Practice PAC ID | 2567368541 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251316 | H C WATKINS MEMORIAL HOSPITAL INC |
| 250069 | RUSH FOUNDATION HOSPITAL |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 603 S Archusa Ave, Quitman, MS 39355-2331 | 6017762123 | RUSH MEDICAL FOUNDATION |
| Organization Legal Name | RUSH MEDICAL FOUNDATION |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Barber | Family Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Christopher W Swift | Internal Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| John W Johnston | Family Medicine | Rush Medical Foundation | 905 C S Frontage Rd, Ec Healthnet Family Health Center, Meridian, MS 39301-6113 |
| Jeffrey Seale | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Nadine Bush | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Daniel B Palm | Family Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Gary G Gordon | Family Medicine | Rush Medical Foundation | 1314 19th Ave, Meridian, MS 39301-4116 |
| James C. Matthews Iii | Family Medicine | Rush Medical Foundation | 1314 19th Ave, Meridian, MS 39301-4116 |
| Rushikesh H Mehta | Pediatric Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Terri L Byrd | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Street Address |
603 S ARCHUSA AVE |
| City | QUITMAN |
| State | MS |
| Zip | 39355-2331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Barber | Family Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Jeffrey Seale | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Nadine Bush | Emergency Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Rushikesh H Mehta | Pediatric Medicine | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Terri L Byrd | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Linda I Mclendon | Certified Nurse Midwife (cnm) | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Sara A Askew | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Briggette J Singley | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Amanda G Cranford | Nurse Practitioner | Rush Medical Foundation | 603 S Archusa Ave, Quitman, MS 39355-2331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendell T Carney | Nurse Practitioner | 111 Main St, Quitman, MS 39355-2119 | |
| Glenn M Cochran | Optometry | Glenn M Cochran Od Pllc | 303 S Archusa Ave, Quitman, MS 39355-2325 |
| David M Holifield Jr. | Optometry | Glenn M Cochran Od Pllc | 303 S Archusa Ave, Quitman, MS 39355-2325 |
| Christopher W Swift | Internal Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Daniel B Palm | Family Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Gary Adam Mcpherson | Nurse Practitioner | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Laura Elizabeth Perry | Nurse Practitioner | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Betsy Mann | Nurse Practitioner | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Kimberly Meador | Nurse Practitioner | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Laraib Tabba | Pediatric Medicine | Rush Medical Foundation | 605 S Archusa Ave, H C Watkins Memorial Hospital Prof, Quitman, MS 39355-2331 |
| Find all physicians in zip 39355 | |||
| City | QUITMAN |
| Zip Code | 39355 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | QUITMAN + FAMILY PRACTICE |
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| 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.