| Dr Martin Bydalek, MD | |
|
2819 Denny Ave, Pascagoula, MS 39581 | |
| (228) 762-3466 | |
| Not Available |
| Full Name | Dr Martin Bydalek |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2819 Denny Ave, Pascagoula, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609926211 | NPI | - | NPPES |
| 930026514 | Other | RAILROAD MEDICARE | |
| 00015597 | Medicaid | MS | |
| 386693YKC0 | Other | MS | MEDICARE |
| 646000515 | Other | TRICARE | |
| 008605220 | Medicaid | AL | |
| 646000515 | Other | BLUE CROSS OF MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10633 (Mississippi) | Primary |
| 207P00000X | Emergency Medicine | MS10633 (Mississippi) | Secondary |
| Entity Name | Singing River Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Bydalek, MD 2819 Denny Avenue, Pascagoula, MS 39581 Ph: () - | Dr Martin Bydalek, MD 2819 Denny Ave, Pascagoula, MS 39581 Ph: (228) 762-3466 |
Dr. Kevin Scott Cooper, MD,MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4305 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-2044 Fax: 228-762-2064 | |
Samantha Nicole Glenn Etheredge, Family Medicine Medicare: Medicare Enrolled Practice Location: 3101 Denny Ave Ste 240, Pascagoula, MS 39581 Phone: 228-872-1951 Fax: 228-875-9998 | |
Dr. Gary H. Groff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Teresa A Williamson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Vernon W Doster, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3616 Hospital Street, Suite D, Pascagoula, MS 39581 Phone: 228-762-8187 Fax: 228-762-6934 | |
Dr. Christopher Erik Bowen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |