Pedro Antonion Munera-cordoba, MD | |
1340 Broad Ave, Ste 410, Gulfport, MS 39501 | |
(228) 867-5202 | |
(228) 867-5007 |
Full Name | Pedro Antonion Munera-cordoba |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1340 Broad Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528171469 | NPI | - | NPPES |
09550215 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 17363 (Mississippi) | Primary |
Entity Name | Forrest County General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | Oceans Mississippi Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932679958 PECOS PAC ID: 9830422716 Enrollment ID: O20190607001139 |
Mailing Address | Practice Location Address |
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Pedro Antonion Munera-cordoba, MD 11150 Highway 49n, Gulfport, MS 39503 Ph: (228) 831-1700 | Pedro Antonion Munera-cordoba, MD 1340 Broad Ave, Ste 410, Gulfport, MS 39501 Ph: (228) 867-5202 |
Ginger Wishik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12266 Ashley Dr, Gulfport, MS 39503 Phone: 228-539-4141 Fax: 228-865-9523 | |
Dr. Sydney A Smith, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1110 Broad Ave Ste 600, Gulfport, MS 39501 Phone: 228-868-5493 Fax: 228-868-9930 | |
Ms. Chelsea R Grow, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Avenue, Ste 440, Gulfport, MS 39501 Phone: 228-867-4855 Fax: 228-867-4870 | |
Dr. Abha Mishra, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 440, Gulfport, MS 39501 Phone: 228-867-4855 Fax: 228-867-4870 | |
Dr. Krishna Rao Nalluri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10051 Lorraine Rd, Suite B, Gulfport, MS 39503 Phone: 228-868-5493 Fax: 228-868-9930 | |
Brian Doyal Maher, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700 | |
Dr. Diane Ellen Ross, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 749 Oakleigh Ave, Gulfport, MS 39507 Phone: 228-896-3317 Fax: 228-896-3314 |