| Dr Charles A Stanich, MD | |
|
4500 13th Street, Gulfport, MS 39501 | |
| (228) 867-4396 | |
| (228) 867-5354 |
| Full Name | Dr Charles A Stanich |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 4500 13th Street, Gulfport, 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 |
|---|---|---|---|
| 1356424576 | NPI | - | NPPES |
| 646000515E | Other | MS | BLUE CROSS OF MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 19513 (Mississippi) | Secondary |
| 207R00000X | Internal Medicine | 19513 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Tender Loving Care | Gulfport, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Lakeview Nursing Center | Gulfport, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gsw Medical Llc | 1850779307 | 4 |
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Care Doc Llc | 7719223957 | 21 |
| Entity Name | Singing River Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 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 |
| Entity Name | Gsw Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336885557 PECOS PAC ID: 1850779307 Enrollment ID: O20220613000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles A Stanich, MD Po Box 1810, Gulfport, MS 39502 Ph: (228) 575-1194 | Dr Charles A Stanich, MD 4500 13th Street, Gulfport, MS 39501 Ph: (228) 867-4396 |
Ekow E Acquah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7112 Fax: 228-575-7190 | |
Dr. Nabil Azar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501 Phone: 228-575-1400 Fax: 228-575-1414 | |
Indrajit J Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152 | |
Dr. Thomas Blanks, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501 Phone: 228-864-0314 Fax: 228-864-0425 | |
Dr. Stephanie Fussell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501 Phone: 228-575-1234 Fax: 282-865-3038 | |
Dr. Malcolm Scott Dean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152 | |
Matthew Jacob Murray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Ashley Dr, Gulfport, MS 39503 Phone: 228-831-1572 Fax: 228-831-1218 |