| Dr Richard K Ivey, MD | |
|
1002 Jefferson St, Suite400, Laurel, MS 39440-4306 | |
| (601) 649-7802 | |
| (601) 428-7841 |
| Full Name | Dr Richard K Ivey |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 1002 Jefferson St, Laurel, 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 |
|---|---|---|---|
| 1790703171 | NPI | - | NPPES |
| 00114933 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 12509 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Clinics, Inc | 4385876655 | 124 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard K Ivey, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Dr Richard K Ivey, MD 1002 Jefferson St, Suite400, Laurel, MS 39440-4306 Ph: (601) 649-7802 |
Dr. Charles Saul, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson St, Suite 400, Laurel, MS 39440 Phone: 601-649-7802 Fax: 601-428-7841 | |
Joshua M. Holifield, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson Street, 400, Laurel, MS 39440 Phone: 601-649-7802 Fax: 601-399-6184 |