| Dr Gary Hodge Ii, MD | |
|
1002 Jefferson Street, Suite 350, Laurel, MS 39440 | |
| (601) 649-5990 | |
| (601) 425-7510 |
| Full Name | Dr Gary Hodge Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 1002 Jefferson Street, Suite 350, 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 |
|---|---|---|---|
| 1801457064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 37133 (Mississippi) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 41796 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas Home Health | Fairhope, AL | Home health agency |
| Centerwell Home Health | Daphne, AL | Home health agency |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-eastern Shore Adult Medicine, Llc | 3375718042 | 19 |
| Entity Name | American Family Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Imc-eastern Shore Adult Medicine, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912284852 PECOS PAC ID: 3375718042 Enrollment ID: O20111207000620 |
| Entity Name | Imc -gulf Orthopaedics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639753171 PECOS PAC ID: 6204236946 Enrollment ID: O20210616003444 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary Hodge Ii, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6169 | Dr Gary Hodge Ii, MD 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Ph: (601) 649-5990 |
Carol Richardson, Family Medicine Medicare: Medicare Enrolled 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: 1430 Jefferson St, Laurel, MS 39440 Phone: 601-425-2273 Fax: 601-426-9637 |
Carrie Grace Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-399-6281 |