| Dr Justice Aaron Gondwe, MD | |
|
965 J K Avent Dr, Suite 106, Grenada, MS 38901-5045 | |
| (662) 227-6450 | |
| (662) 227-6452 |
| Full Name | Dr Justice Aaron Gondwe |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 965 J K Avent Dr, Grenada, 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 |
|---|---|---|---|
| 1912928086 | NPI | - | NPPES |
| 25140 | Other | IA | BCBS |
| 3116087 | Medicaid | IA | |
| 0491951 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 20373 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Yukon Kuskokwim Delta Reg Hospital | Bethel, AK | Hospital |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Grenada Adult Healthcare Clinic Pc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144478512 PECOS PAC ID: 7517018658 Enrollment ID: O20090630000474 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720419583 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001762 |
| Entity Name | Progressive Medical Management Of Batesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justice Aaron Gondwe, MD 965 Jk Avent Drive, Suite 106, Grenada, MS 38901 Ph: (662) 227-6450 | Dr Justice Aaron Gondwe, MD 965 J K Avent Dr, Suite 106, Grenada, MS 38901-5045 Ph: (662) 227-6450 |
Joseph Frank Roberts, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr, Suite 101, Grenada, MS 38901 Phone: 662-226-1168 Fax: 662-226-1116 | |
Dr. John Edward Seibel Jr., MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste W, Grenada, MS 38901 Phone: 901-767-3123 Fax: 901-767-3884 | |
Canon Jade Beissel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 35 W Monroe St, Grenada, MS 38901 Phone: 662-226-8229 Fax: 662-226-3300 | |
Joseph S Messina Jr., MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Drive, Suite A, Grenada, MS 38901 Phone: 662-226-1646 Fax: 662-226-1646 |