| Donnis Kline Harrison, MD | |
|
3615 Hospital St, Pascagoula, MS 39581-4112 | |
| (228) 762-3664 | |
| (228) 769-7015 |
| Full Name | Donnis Kline Harrison |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 25 Years |
| Location | 3615 Hospital St, Pascagoula, 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 |
|---|---|---|---|
| 1619902814 | NPI | - | NPPES |
| 00983228 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 19197 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bienville Orthopaedic Specialists, Llc | 0547155178 | 42 |
| Entity Name | Bienville Orthopaedic Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834 |
| Entity Name | Oal Care Of Al, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720540693 PECOS PAC ID: 1254668031 Enrollment ID: O20210422000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Donnis Kline Harrison, MD 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 Ph: (228) 230-2663 | Donnis Kline Harrison, MD 3615 Hospital St, Pascagoula, MS 39581-4112 Ph: (228) 762-3664 |
Dr. Arthur Dewayne Black, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2725 Andrew Ave, Pascagoula, MS 39567 Phone: 228-762-3993 Fax: 228-762-3839 | |
Christopher Edward Wiggins, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3615 Hospital St, Pascagoula, MS 39581 Phone: 228-762-3664 Fax: 228-769-7015 | |
Dr. Charlton Henry Barnes, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4211 Hospital St Ste 103, Pascagoula, MS 39581 Phone: 228-769-6000 Fax: 228-769-6055 | |
Eric D Washington, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3615 Hospital St, Pascagoula, MS 39581 Phone: 228-762-3664 Fax: 228-763-7015 |