| Dr Benjamin Probie Smith, MD | |
|
301 Fisher St, Attn Internal Medicine Clinic, Keesler Afb, MS 39534-2508 | |
| (228) 376-0577 | |
| (228) 376-0103 |
| Full Name | Dr Benjamin Probie Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 301 Fisher St, Keesler Afb, 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 |
|---|---|---|---|
| 1669783668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 21815 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | 21815 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region I | Laurel, MS | Home health agency |
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Saad Home Health And Hospice Of Ms | Diberville, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Memorial Hospital Biloxi | Biloxi, MS | Hospital |
| Encompass Health Rehabilitation Hospital, Partner | Gulfport, MS | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Exceed Physical Therapy, Llc | 8123378338 | 72 |
| Memorial Hospital At Gulfport | 2466524012 | 473 |
| Entity Name | Memorial Hospital at Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093142598 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Care Doc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225505993 PECOS PAC ID: 7719223957 Enrollment ID: O20190109002502 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Probie Smith, MD 301 Fisher St, Attn Internal Medicine Clinic, Keesler Afb, MS 39534-2508 Ph: (228) 376-0577 | Dr Benjamin Probie Smith, MD 301 Fisher St, Attn Internal Medicine Clinic, Keesler Afb, MS 39534-2508 Ph: (228) 376-0577 |
Ms. Melinda Marie Auxier, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, 88 Mdos/sgom, Keesler Afb, MS 39534 Phone: 228-376-0576 |
Frank David Russo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3807 Fax: 228-376-0105 |
Dr. Matthew Christopher Hann, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-342-6178 |
Stuart Thomas Wood, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3551 |
Dr. Evan Manning, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-2273 |
Dr. Jonathan Patrick Pollock, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3811 |
Mike Sunwoo Kim, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 301 Fisher St Rm 1g123, Keesler Afb, MS 39534 Phone: 228-376-0577 Fax: 228-376-0103 |