| Dr Randy Roth, MD | |
|
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
| (228) 809-5510 | |
| (228) 809-5519 |
| Full Name | Dr Randy Roth |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 2809 Denny Ave, Pascagoula, 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 |
|---|---|---|---|
| 1013068212 | NPI | - | NPPES |
| 009917145 | Medicaid | AL | |
| 646000515E | Other | BLUE CROSS OF MS | |
| 60039090 | Other | MEDICARE RAILROAD | |
| RR00116679 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MS14779 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Singing River Health System | Pascagoula, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singing River Health System | 3870405194 | 243 |
| 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 | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Roth, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5510 | Dr Randy Roth, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5510 |
James Lee Harwell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Ediz Tasan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Hospital St Ste 102, Pascagoula, MS 39581 Phone: 228-762-1002 | |
Dr. Edgar Hull, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Olusola Isikalu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-762-0712 | |
Hugo A Quintana, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St Ste 202, Pascagoula, MS 39581 Phone: 228-372-8270 Fax: 228-372-8270 | |
Thomas E. Stevens Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |