Dr Kenneth L Gooch, MD in Hattiesburg, MS

Dr Kenneth L Gooch, MD is a Family Medicine physician based in Hattiesburg, Mississippi. Dr Kenneth L Gooch is licensed to practice in Mississippi (license number 12115) and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 264-6000.

NPI number for Dr Kenneth L Gooch is 1275547564 and his current mailing address is 415 S 28th Ave, Hattiesburg, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275547564.

Contact Information

	Dr Kenneth L Gooch, MD
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 264-6000
	(601) 579-5240

Map and Direction

Physician's Profile

Full Name	Dr Kenneth L Gooch
Gender	Male
Speciality	Family Medicine
Location	415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1275547564
Provider Enumeration Date: 07/29/2006
Last Update Date: 05/04/2021

Medical Identifiers

Medical identifiers for Dr Kenneth L Gooch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275547564	NPI	-	NPPES
00111737	Medicaid	MS
5360131	Other	MS	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	12115 (Mississippi)	Secondary
207Q00000X	Family Medicine	12115 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth L Gooch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kenneth L Gooch, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000	Dr Kenneth L Gooch, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000

Reviews and Comments

Family Medicine Doctors in Hattiesburg, MS

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: Medicare Enrolled 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240

Dr Kenneth L Gooch, MD - Family Medicine in Hattiesburg, MS