| Dr Matthew Carlson, MD | |
|
4500 13th St, Gulfport, MS 39501-2515 | |
| (228) 376-0577 | |
| Not Available |
| Full Name | Dr Matthew Carlson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 4500 13th St, Gulfport, 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 |
|---|---|---|---|
| 1609865682 | NPI | - | NPPES |
| 20383 | Other | MS | MISSISSIPPI STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20383 (Mississippi) | Secondary |
| 208M00000X | Hospitalist | 20383 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Singing River Gulfport | Gulfport, MS | Hospital |
| Memorial Hospital Biloxi | Biloxi, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 473 |
| 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 |
| Entity Name | Memorial Hospital at Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093142598 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Carlson, MD Po Box 1810, Gulfport, MS 39502 Ph: (228) 575-1194 | Dr Matthew Carlson, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 376-0577 |
Hunter Cooper, MD Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4968 |