Dr Mark Burnette Wall, MD | |
150 Reynoir St, Biloxi, MS 39530-4130 | |
(228) 436-1111 | |
Not Available |
Full Name | Dr Mark Burnette Wall |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 21 Years |
Location | 150 Reynoir St, 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 |
---|---|---|---|
1053447268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 00025773 (Alabama) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 20161 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Usa Health University Hospital | Mobile, AL | Hospital |
Usa Health Children's & Women's Hospital | Mobile, AL | Hospital |
Merit Health Biloxi | Biloxi, MS | Hospital |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gci Radiology Pllc | 4284997107 | 6 |
Usa Health Physician Billing Services Llc | 9931436912 | 251 |
Northland Radiology Inc | 7719884741 | 17 |
Entity Name | Gulf Coast Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205850773 PECOS PAC ID: 3678558723 Enrollment ID: O20040622001235 |
Entity Name | Mark B. Wall, Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407216617 PECOS PAC ID: 2062702152 Enrollment ID: O20160601002436 |
Entity Name | Gci Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407364482 PECOS PAC ID: 4284997107 Enrollment ID: O20180406000066 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Burnette Wall, MD P O Box 604, 135 Main St, Biloxi, MS 39530 Ph: (228) 432-1111 | Dr Mark Burnette Wall, MD 150 Reynoir St, Biloxi, MS 39530-4130 Ph: (228) 436-1111 |
Robert Stroble, MD Radiology Medicare: Medicare Enrolled Practice Location: 180 Debuys Rd, Biloxi, MS 39531 Phone: 228-818-0563 Fax: 228-818-0519 | |
Dr. Dianna Andrea Ragula, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 150 Reynoir Street, Biloxi, MS 39530 Phone: 228-436-1254 Fax: 228-436-1289 | |
Richard J Orange, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 180 Debuys Rd, Biloxi, MS 39530 Phone: 228-436-1111 Fax: 228-436-1289 | |
Phil Sykes, Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5436 | |
Dr. Quan Huu Ha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5436 | |
Shaun W Mckee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1720c Medical Park Dr, Biloxi, MS 39532 Phone: 228-354-0251 Fax: 228-396-3550 |