| Dr Jonathan Kalish, MD | |
|
499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | |
| (662) 377-7100 | |
| (662) 377-7115 |
| Full Name | Dr Jonathan Kalish |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 33 Years |
| Location | 499 Gloster Creek Vlg, Tupelo, 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 |
|---|---|---|---|
| 1205836764 | NPI | - | NPPES |
| 009953340 | Medicaid | AL | |
| 00120585 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 16370 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Professional Assoc | 9335166834 | 14 |
| Entity Name | Urology Professional Assoc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886805 PECOS PAC ID: 9335166834 Enrollment ID: O20060906000564 |
| Entity Name | Urologic Ambulatory Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1154867562 PECOS PAC ID: 4688941396 Enrollment ID: O20170601000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Kalish, MD Po Box 829, Tupelo, MS 38802-0829 Ph: (662) 377-7100 | Dr Jonathan Kalish, MD 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 Ph: (662) 377-7100 |
Katelynn Pannell, NP Urology Medicare: Accepting Medicare Assignments Practice Location: 499 S Gloster St Ste A-1, Tupelo, MS 38801 Phone: 662-432-0700 | |
Dr. Jon T Posey, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801 Phone: 662-377-7100 | |
Jeremy Scott Archer, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste A1, Tupelo, MS 38801 Phone: 662-432-0700 | |
Dr. Clarance Stephen Farmer Ii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801 Phone: 662-377-7100 Fax: 662-377-7115 | |
Kristopher Wayne Whitehead, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801 Phone: 662-377-7100 Fax: 662-377-7115 | |
Dr. Paul Farabaugh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801 Phone: 662-377-7100 Fax: 662-377-7115 |