| Dr Keith A Kersten, DO | |
|
123 S 27th Ave, Hattiesburg, MS 39401-7136 | |
| (601) 450-3030 | |
| (601) 450-3031 |
| Full Name | Dr Keith A Kersten |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 123 S 27th Ave, Hattiesburg, 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 |
|---|---|---|---|
| 1861445108 | NPI | - | NPPES |
| P00718593 | Other | MS | RAILROAD MEDICARE |
| 4122846 | Other | MS | AETNA |
| 1145459 | Medicaid | LA | |
| 00124654 | Medicaid | MS | |
| 10980253 | Other | MS | CAQH ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16793 (Mississippi) | Primary |
| 207Q00000X | Family Medicine | 328332 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | 16793 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Rapid Urgent Care Inc | 0840437174 | 30 |
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | Hancock Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295142396 PECOS PAC ID: 8022237015 Enrollment ID: O20140924002285 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith A Kersten, DO Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-3700 | Dr Keith A Kersten, DO 123 S 27th Ave, Hattiesburg, MS 39401-7136 Ph: (601) 450-3030 |
Katherine O'neal Royals, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 | |
Nabih Alsheikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7100 U S Highway 98 Ste 240, Hattiesburg, MS 39402 Phone: 601-450-8822 Fax: 601-450-8821 | |
Glenn A Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4209 Lincoln Road, Hattiesburg, MS 39402 Phone: 601-579-5400 Fax: 601-261-3521 | |
Dr. Cierra Celeste Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
Dr. Wayne A Hughes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-261-5710 Fax: 601-268-5058 | |
John Lloyd Martin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7148 U S Highway 98 Ste 101, Hattiesburg, MS 39402 Phone: 601-261-1500 Fax: 601-579-5240 | |
Helen Rachael Gandy Hudson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 |