| Dr Diane Ellen Ross, MD | |
|
749 Oakleigh Ave, Gulfport, MS 39507-3809 | |
| (228) 896-3317 | |
| (228) 896-3314 |
| Full Name | Dr Diane Ellen Ross |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 53 Years |
| Location | 749 Oakleigh Ave, 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 |
|---|---|---|---|
| 1447323001 | NPI | - | NPPES |
| 00010874 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 09562 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kare In Home Health Services | Gulfport, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Exceed Physical Therapy, Llc | 8123378338 | 52 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Ellen Ross, MD 2160 E Pass Rd, Suite D, Gulfport, MS 39507-3801 Ph: (228) 896-3317 | Dr Diane Ellen Ross, MD 749 Oakleigh Ave, Gulfport, MS 39507-3809 Ph: (228) 896-3317 |
Dr. Richard F. Kutner, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 14426 James Bond Rd, Gulfport, MS 39503 Phone: 985-781-7353 Fax: 228-328-6015 | |
Ginger Wishik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12266 Ashley Dr, Gulfport, MS 39503 Phone: 228-539-4141 Fax: 228-865-9523 | |
Ms. Chelsea R Grow, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Avenue, Ste 440, Gulfport, MS 39501 Phone: 228-867-4855 Fax: 228-867-4870 | |
Dr. Abha Mishra, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 440, Gulfport, MS 39501 Phone: 228-867-4855 Fax: 228-867-4870 | |
Dr. Krishna Rao Nalluri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10051 Lorraine Rd, Suite B, Gulfport, MS 39503 Phone: 228-868-5493 Fax: 228-868-9930 | |
Brian Doyal Maher, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700 |