| Dr Bernard Gayle Harrell, DO | |
|
1080 Highway 35 S, Forest, MS 39074-9423 | |
| (601) 469-3555 | |
| (601) 469-3584 |
| Full Name | Dr Bernard Gayle Harrell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 1080 Highway 35 S, Forest, 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 |
|---|---|---|---|
| 1871575852 | NPI | - | NPPES |
| 00013342 | Medicaid | MS | |
| 010013307 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10830 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Sta Home Hospice Of Mississippi | Jackson, MS | Hospice |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Healthcare Management Inc | 0840197232 | 27 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bernard Gayle Harrell, DO Po Box 5183, Meridian, MS 39302-5183 Ph: (601) 703-9506 | Dr Bernard Gayle Harrell, DO 1080 Highway 35 S, Forest, MS 39074-9423 Ph: (601) 469-3555 |
William Mark Lewis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-1238 | |
Rita Carol Beasley, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 601-469-9999 Fax: 601-469-9933 | |
Marion Jewett Sorrels, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1080 Highway 35 S, Forest, MS 39074 Phone: 601-469-3555 Fax: 601-469-3584 | |
Austin Archie Howard Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-1238 | |
Van-vi Le Richardson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1080 Highway 35 S, Forest, MS 39074 Phone: 601-469-3555 Fax: 601-469-3584 | |
John Paul Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-4861 Fax: 601-469-1238 |