OrganizationWilliam G. Bush M.D., P.L.L.CObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address1020 River Oaks Dr, Suite 410, Jackson, MS 39232-9500(601) 664-0111PECOS EnrollmentBased on the most recent information from CMS, provider William G. Bush M.D., P.L.L.C does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821276106Provider TypeOrganizationFull NameWilliam G. Bush M.D., P.L.L.CSubpartNoEnumeration Date2/8/2008Last Updated3/7/2023Contact InformationPractice LocationPractice Address1020 River Oaks Dr, Suite 410, Jackson, MS 39232-9500Phone(601) 664-0111Fax(601) 932-1308Mailing LocationMailing Address1020 River Oaks Dr, Suite 410, Jackson, MS 39232-9500Phone(601) 664-0111Fax(601) 932-1308Authorized OfficialNameArmstrong, Chrissy A (Office Manager)Phone(601) 664-0111Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicense11010MississippiProvider IdentifiersIDDescriptionIssuerID00121297DescriptionMedicaidIssuerUnlistedMississippiID11010DescriptionOtherIssuerMS STATE MEDICAL LICENSEMississippi