| Bassam K Mechleb, MD | |
|
404 S 13th Ave, Laurel, MS 39440-4345 | |
| (601) 425-5544 | |
| (601) 425-5525 |
| Full Name | Bassam K Mechleb |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 25 Years |
| Location | 404 S 13th Ave, Laurel, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063625325 | NPI | - | NPPES |
| 02182072 | Medicaid | MS | |
| P00417389 | Other | MS | RAILROAD MEDICARE |
| 7837897 | Other | MS | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 19531 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Wayne General Hospital | Waynesboro, MS | Hospital |
| Jasper General Hospital | Bay springs, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forrest County General Hospital | 1052397767 | 99 |
| Fgh Physician Billing | 1850344946 | 17 |
| South Central Clinics, Inc | 4385876655 | 108 |
| South Central Regional Medical Center | 8325946411 | 10 |
| Entity Name | South Central Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700934676 PECOS PAC ID: 8325946411 Enrollment ID: O20031229000259 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Fgh Physician Billing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Bassam K Mechleb, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 425-5544 | Bassam K Mechleb, MD 404 S 13th Ave, Laurel, MS 39440-4345 Ph: (601) 425-5544 |
John M. Wallace, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Dr. Hamit Kumar, M.B.B.S Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863 | |
Carolyn Cegielski, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Willus Mark Horne, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Joel Thomas Shores, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Mr. Burgese Keki Turel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 117 South 11th Avenue, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 |