| Dr Angela Booth Wingfield, MD | |
|
11295 E Taylor Rd, Gulfport, MS 39503-4197 | |
| (228) 864-3300 | |
| Not Available |
| Full Name | Dr Angela Booth Wingfield |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 23 Years |
| Location | 11295 E Taylor Rd, Gulfport, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962494294 | NPI | - | NPPES |
| 25D1013637 | Other | CLIA | |
| 00874879 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 024878 (Louisiana) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 1731 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Dermatology Clinic, Pllc | 8123129673 | 7 |
| Entity Name | The Dermatology Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720284946 PECOS PAC ID: 8123129673 Enrollment ID: O20070727000240 |
| Entity Name | Skin In The Game, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760043046 PECOS PAC ID: 8022444538 Enrollment ID: O20200131001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Booth Wingfield, MD 11295 E Taylor Rd, Gulfport, MS 39503-4197 Ph: (228) 864-3300 | Dr Angela Booth Wingfield, MD 11295 E Taylor Rd, Gulfport, MS 39503-4197 Ph: (228) 864-3300 |
Dr. Robert C Wessler, M.D Dermatology Medicare: Medicare Enrolled Practice Location: 1118 Broad Ave, Gulfport, MS 39501 Phone: 228-863-7115 Fax: 228-863-2723 | |
Joseph P. Shrum, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1245 42nd Ave, Gulfport, MS 39501 Phone: 228-864-8049 Fax: 228-864-7655 | |
Dr. Gwendolyn Ann Crane, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1304 44th Ave, Gulfport, MS 39501 Phone: 228-868-4006 Fax: 228-822-2461 | |
Dr. Alan Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1245 42nd Ave, Gulfport, MS 39501 Phone: 228-864-8049 Fax: 228-864-7655 |