| Berthold Beisel, MD | |
|
502 Broad St, Columbia, MS 39429-3037 | |
| (601) 736-8282 | |
| (601) 736-8333 |
| Full Name | Berthold Beisel |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 502 Broad St, Columbia, 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 |
|---|---|---|---|
| 1174546345 | NPI | - | NPPES |
| 1739685 | Medicaid | LA | |
| P00007519 | Other | RAILROAD MEDICARE | |
| 03871775 | Medicaid | MS | |
| 640507572TL | Other | MS | AMERICAN ADMIN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17957 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Home Care Of Marion General | Columbia, MS | Home health agency |
| Camellia Home Health And Hospice | Hattiesburg, MS | Hospice |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Marion General Hospital | Columbia, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forrest County General Hospital | 1052397767 | 99 |
| 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 | The Clinic At Farmers Medshoppe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487972568 PECOS PAC ID: 2466584982 Enrollment ID: O20100720000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Berthold Beisel, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 736-8282 | Berthold Beisel, MD 502 Broad St, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
Dr. Jonathan Ryohwan Jang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 W Lakeview Dr, Suite 2, Columbia, MS 39429 Phone: 601-444-4798 Fax: 601-444-5127 | |
Dr. Charles R. Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 Fax: 601-261-2942 | |
Dr. Harry G. Hunt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1212 Broad St, Columbia, MS 39429 Phone: 601-444-9266 Fax: 601-444-9267 | |
Terra Leigh Parker, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-579-5240 | |
Robert R Herrington Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-736-8533 | |
Dr. Stephen Marc Wascomb, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 554 Singley Rd, Columbia, MS 39429 Phone: 601-600-0036 |