| Fgh Physician Billing | |
|
801 Goodyear Blvd Picayune MS 39466-3221 | |
| (800) 245-9006 | |
| Not Available |
| Full Name | Fgh Physician Billing |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 Goodyear Blvd, Picayune, Mississippi |
| Authorized Official Name and Position | Ben Hester (CFO) |
| Authorized Official Contact | 6012884225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fgh Physician Billing Po Box 16745 Hattiesburg MS 39404-6745 Ph: (800) 245-9006 | Fgh Physician Billing 801 Goodyear Blvd Picayune MS 39466-3221 Ph: (800) 245-9006 |
| NPI Number | 1053469700 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 09/18/2017 |
| Medicare PECOS PAC ID | 1850344946 |
|---|---|
| Medicare Enrollment ID | O20050301000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053469700 | NPI | - | NPPES |
| 00375828 | Medicaid | MS |
| Provider Name | Lewis E Hatten |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487666061 PECOS PAC ID: 4284532995 Enrollment ID: I20031219000312 |
| Provider Name | Michael J Hammett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396757910 PECOS PAC ID: 4688656614 Enrollment ID: I20040603000831 |
| Provider Name | Wassim E Mouannes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780799965 PECOS PAC ID: 9133199680 Enrollment ID: I20040730000531 |
| Provider Name | John R Lovejoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770528713 PECOS PAC ID: 3678540176 Enrollment ID: I20040914000801 |
| Provider Name | Eric W Enger |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265442594 PECOS PAC ID: 8729057351 Enrollment ID: I20040929001137 |
| Provider Name | Robert G Wilkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598875304 PECOS PAC ID: 5496724031 Enrollment ID: I20040929001196 |
| Provider Name | Thad F Waites |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588773774 PECOS PAC ID: 5294718045 Enrollment ID: I20040929001219 |
| Provider Name | Randel Lavelle Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639288293 PECOS PAC ID: 5092784645 Enrollment ID: I20040929001233 |
| Provider Name | Thomas S Messer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639284888 PECOS PAC ID: 7618946260 Enrollment ID: I20040929001248 |
| Provider Name | J D Dumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548333610 PECOS PAC ID: 8022078187 Enrollment ID: I20041013000610 |
| Provider Name | Arthur C Martin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821103185 PECOS PAC ID: 6709830185 Enrollment ID: I20050309000113 |
| Provider Name | Wendell R Helveston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881607158 PECOS PAC ID: 0345288536 Enrollment ID: I20050419000655 |
| Provider Name | Benjamin Talbot Rester |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568545176 PECOS PAC ID: 1254372212 Enrollment ID: I20050519000664 |
| Provider Name | Joseph A Proli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538277843 PECOS PAC ID: 8527002013 Enrollment ID: I20050615000691 |
| Provider Name | Lawrence J Leader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508970211 PECOS PAC ID: 8022088954 Enrollment ID: I20050616000373 |
| Provider Name | Billy C Chancellor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053328385 PECOS PAC ID: 2567406671 Enrollment ID: I20050620000029 |
| Provider Name | John K Thompson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962511212 PECOS PAC ID: 5698704435 Enrollment ID: I20050811000529 |
| Provider Name | Patricia Ann Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821032236 PECOS PAC ID: 5991729816 Enrollment ID: I20060118000960 |
| Provider Name | George J Blair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902835234 PECOS PAC ID: 5799788147 Enrollment ID: I20060824000463 |
| Provider Name | Richard E Clatterbuck |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205887338 PECOS PAC ID: 9739287939 Enrollment ID: I20070612000640 |
| Provider Name | Bassam K Mechleb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063625325 PECOS PAC ID: 7911090295 Enrollment ID: I20070831000283 |
| Provider Name | Ronald L Schwartz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780793331 PECOS PAC ID: 4385733567 Enrollment ID: I20071211000623 |
| Provider Name | William Boyte |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285676908 PECOS PAC ID: 1153411426 Enrollment ID: I20071227000082 |
| Provider Name | Christopher S Lynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386759603 PECOS PAC ID: 2961584396 Enrollment ID: I20080124000361 |
| Provider Name | John D Sobiesk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508975178 PECOS PAC ID: 6709968852 Enrollment ID: I20080128000590 |
| Provider Name | Jose P Fernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144230491 PECOS PAC ID: 1355423096 Enrollment ID: I20080202000012 |
| Provider Name | Richard A Pecunia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205944659 PECOS PAC ID: 3971685611 Enrollment ID: I20080202000021 |
| Provider Name | Gabriella Szatmary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972786150 PECOS PAC ID: 4486731932 Enrollment ID: I20080408000355 |
| Provider Name | Keith O Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316131568 PECOS PAC ID: 3375615669 Enrollment ID: I20080701000523 |
| Provider Name | Craig Thieling |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952409609 PECOS PAC ID: 0244258556 Enrollment ID: I20080804000338 |
| Provider Name | Brad H Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164537445 PECOS PAC ID: 1254497514 Enrollment ID: I20090311000650 |
| Provider Name | Lisa B Gatwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881846681 PECOS PAC ID: 9133270200 Enrollment ID: I20090701000089 |
| Provider Name | Jessica A Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750517660 PECOS PAC ID: 9133274269 Enrollment ID: I20090826000108 |
| Provider Name | Theresa Dueitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881817450 PECOS PAC ID: 4082740055 Enrollment ID: I20100329000920 |
| Provider Name | Brandi Rawls Lockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457641276 PECOS PAC ID: 4688852122 Enrollment ID: I20110701000253 |
| Provider Name | Timothy Thompson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578747390 PECOS PAC ID: 8224117841 Enrollment ID: I20110729000357 |
| Provider Name | Jeremy Paul Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538494489 PECOS PAC ID: 6406029487 Enrollment ID: I20111108000436 |
| Provider Name | Wissam K Mechleb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487841847 PECOS PAC ID: 2961667712 Enrollment ID: I20120629000397 |
| Provider Name | John Kruse |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1215920855 PECOS PAC ID: 0042344848 Enrollment ID: I20130606000062 |
| Provider Name | Jawauna Stewart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598077034 PECOS PAC ID: 7618114315 Enrollment ID: I20130802000558 |
| Provider Name | Adam Douglas Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083021240 PECOS PAC ID: 6507083078 Enrollment ID: I20140806001249 |
| Provider Name | Daryl A. Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902095664 PECOS PAC ID: 1052539806 Enrollment ID: I20140820001852 |
| Provider Name | Gregory Toczyl |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104002047 PECOS PAC ID: 9830245869 Enrollment ID: I20150812007463 |
| Provider Name | Christopher John Douglas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427251511 PECOS PAC ID: 0941350102 Enrollment ID: I20150825003833 |
| Provider Name | Jacob M Graham |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144517715 PECOS PAC ID: 9638395312 Enrollment ID: I20150828001919 |
| Provider Name | Sourabh Mukherjee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598983108 PECOS PAC ID: 9335365063 Enrollment ID: I20160614002060 |
| Provider Name | Christopher M Hinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952780066 PECOS PAC ID: 8426364829 Enrollment ID: I20180124001699 |
| Provider Name | Dongwoo John Chang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1962485037 PECOS PAC ID: 6709779853 Enrollment ID: I20180322002094 |
| Provider Name | Andrew Merlan Nida |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730476144 PECOS PAC ID: 5395061857 Enrollment ID: I20180626000764 |
| Provider Name | Alexander H Nguyen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730406729 PECOS PAC ID: 7618283425 Enrollment ID: I20190117000649 |
| Provider Name | Nathaniel Nowacki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508201872 PECOS PAC ID: 2062746878 Enrollment ID: I20190627003486 |
| Provider Name | Alison Creel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720528680 PECOS PAC ID: 2466738422 Enrollment ID: I20190919002486 |
| Provider Name | Elizabeth R Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659918084 PECOS PAC ID: 1052746435 Enrollment ID: I20200113000850 |
| Provider Name | Frank Joseph Hux |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003030578 PECOS PAC ID: 0446397756 Enrollment ID: I20200331002333 |
| Provider Name | Adam Harless |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851653315 PECOS PAC ID: 0941429963 Enrollment ID: I20200709002502 |
| Provider Name | Sam Shamsnia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568773901 PECOS PAC ID: 2668698804 Enrollment ID: I20200824001623 |
| Provider Name | Lauren Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992394985 PECOS PAC ID: 3678987245 Enrollment ID: I20210122002302 |
| Provider Name | Jose Sosa Popoteur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285981332 PECOS PAC ID: 1254635444 Enrollment ID: I20211004003374 |
| Provider Name | Maya A Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811208788 PECOS PAC ID: 4688847825 Enrollment ID: I20220217001254 |
| Provider Name | Paul V Birinyi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851603906 PECOS PAC ID: 8022310473 Enrollment ID: I20220226000100 |
| Provider Name | Sebastian Koga |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710191184 PECOS PAC ID: 7012140437 Enrollment ID: I20220310000948 |
| Provider Name | Georges El Khoury Antoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265621130 PECOS PAC ID: 3971735275 Enrollment ID: I20230309002802 |
| Provider Name | David Nathan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194731240 PECOS PAC ID: 1254374903 Enrollment ID: I20230327000483 |
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