| Dr Charles Erickson Probst, DO | |
|
2313 Highway 15 N, Laurel, MS 39440-1805 | |
| (601) 649-2775 | |
| (601) 579-5240 |
| Full Name | Dr Charles Erickson Probst |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 2313 Highway 15 N, Laurel, 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 |
|---|---|---|---|
| 1477864585 | NPI | - | NPPES |
| 07689072 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO1073 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 20941 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Coastal Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Erickson Probst, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 649-2775 | Dr Charles Erickson Probst, DO 2313 Highway 15 N, Laurel, MS 39440-1805 Ph: (601) 649-2775 |
Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970 | |
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281 | |
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628 | |
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827 | |
Dr. John Hassell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577 Fax: 601-649-7962 | |
Bharat Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 601-649-3821 Fax: 601-649-3827 |