| Dr Roberto H Lopez-santini, MD | |
|
906 Sixth Ave, Picayune, MS 39466-3802 | |
| (601) 798-7529 | |
| (601) 798-7553 |
| Full Name | Dr Roberto H Lopez-santini |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 43 Years |
| Location | 906 Sixth Ave, Picayune, 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 |
|---|---|---|---|
| 1316960867 | NPI | - | NPPES |
| 00011176 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12062 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
| Highland Community Hospital | Picayune, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Ochsner Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roberto H Lopez-santini, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Dr Roberto H Lopez-santini, MD 906 Sixth Ave, Picayune, MS 39466-3802 Ph: (601) 798-7529 |
Jose A Carlo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1911 Read Rd, Picayune, MS 39466 Phone: 601-450-3500 Fax: 601-450-3504 | |
Glenn A Butt, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 2416 Hwy 435, Picayune, MS 39466 Phone: 769-242-2525 Fax: 769-272-2526 |