| Dr Keith G Goodfellow, MD | |
|
147 Reynoir St Ste 105, Biloxi, MS 39530 | |
| (228) 436-6674 | |
| Not Available |
| Full Name | Dr Keith G Goodfellow |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 35 Years |
| Location | 147 Reynoir St Ste 105, Biloxi, 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 |
|---|---|---|---|
| 1164573515 | NPI | - | NPPES |
| 06474210 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 13840 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Entity Name | Biloxi Hma Physician Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770537920 PECOS PAC ID: 4880690288 Enrollment ID: O20061006000537 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith G Goodfellow, MD Po Box 321359, Flowood, MS 39232-1359 Ph: (601) 936-1395 | Dr Keith G Goodfellow, MD 147 Reynoir St Ste 105, Biloxi, MS 39530 Ph: (228) 436-6674 |
Dr. Courtney Elizabeth Meredith, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 147 Reynoir St, Suite 105, Biloxi, MS 39530 Phone: 228-436-6658 | |
Albert Diaz, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1720a Medical Park Dr, Suite 130, Biloxi, MS 39532 Phone: 228-396-0337 | |
Victoria Wilson Clark, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2781 C T Switzer Sr Dr Ste 306, Biloxi, MS 39531 Phone: 228-822-6368 Fax: 228-207-3842 | |
Dr. Kristina Lake Munkholm Karlson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-5360 | |
Mrs. Hebe Arroyo Diaz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Drive, Suite 130c, Biloxi, MS 39532 Phone: 228-392-8881 Fax: 228-392-8887 | |
Dr. Paul Richard Ziaya, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5743 |