| Dr Judith L Corey, MD | |
|
4320 15th St, Suite A, Gulfport, MS 39501-2524 | |
| (228) 864-4392 | |
| (228) 868-7103 |
| Full Name | Dr Judith L Corey |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 4320 15th St, 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 |
|---|---|---|---|
| 1437150323 | NPI | - | NPPES |
| 00119480 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 15899 (Mississippi) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 252516-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital | Silver spring, MD | Hospital |
| Holy Cross Germantown Hospital | Germantown, MD | Hospital |
| Adventist Healthcare White Oak Medical Center | Silver spring, MD | Hospital |
| Adventist Healthcare Shady Grove Medical Center | Rockville, MD | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Services Of Holy Cross | 3779516992 | 157 |
| Eastpointe Radiologists Pc | 7618876327 | 106 |
| Mori Bean And Brooks Inc | 8820077878 | 959 |
| Lifebridge Community Physicians Inc | 3678751468 | 185 |
| Jamaica Hospital | 2264324334 | 251 |
| Blackwell Physicians, Llc | 2163810383 | 67 |
| Entity Name | Professional Services Of Holy Cross |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Judith L Corey, MD 4320 15th St, Suite A, Gulfport, MS 39501-2524 Ph: (228) 864-4392 | Dr Judith L Corey, MD 4320 15th St, Suite A, Gulfport, MS 39501-2524 Ph: (228) 864-4392 |
Dr. Eric D. Lawson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Raun Joseph Wetzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Raymond E. Tipton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Frank Alan Lovell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Barbara N Massony, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4320 15th St, Suite A, Gulfport, MS 39501 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Russell Elbey Allman Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 |