| Benjamin A Marble, MD | |
|
859 Winter St, Lucedale, MS 39452-6603 | |
| (601) 766-4212 | |
| Not Available |
| Full Name | Benjamin A Marble |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 859 Winter St, Lucedale, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437192119 | NPI | - | NPPES |
| 08121261 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18076 (Mississippi) | Primary |
| Entity Name | George County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023074028 PECOS PAC ID: 5294717013 Enrollment ID: O20040604000732 |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | George Regional Er Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043690936 PECOS PAC ID: 6608180138 Enrollment ID: O20150728006195 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A Marble, MD Po Box 607, Lucedale, MS 39452-0607 Ph: (601) 766-4212 | Benjamin A Marble, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 766-4212 |
Reese G Lindsey, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 | |
Stacy A Upshaw, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 Fax: 601-947-9948 |