| Dr Stephanie Fussell, MD | |
|
1340 Broad Ave Ste 330, Gulfport, MS 39501-2464 | |
| (228) 575-1234 | |
| (282) 865-3038 |
| Full Name | Dr Stephanie Fussell |
|---|---|
| Gender | Female |
| Speciality | Medical Oncology |
| Experience | 39 Years |
| Location | 1340 Broad Ave Ste 330, Gulfport, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073569018 | NPI | - | NPPES |
| P00122585 | Other | AL | MEDICARE RAILROAD |
| 529501680 | Medicaid | AL | |
| 51523039 | Other | AL | BLUE CROSS ID# |
| 00236384 | Medicaid | MS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephanie Fussell, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 575-1234 | Dr Stephanie Fussell, MD 1340 Broad Ave Ste 330, Gulfport, MS 39501-2464 Ph: (228) 575-1234 |
Ekow E Acquah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7112 Fax: 228-575-7190 | |
Dr. Nabil Azar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 310, Gulfport, MS 39501 Phone: 228-575-1400 Fax: 228-575-1414 | |
Indrajit J Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152 | |
Dr. Thomas Blanks, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1110 Broad Ave, Suite 700, Gulfport, MS 39501 Phone: 228-864-0314 Fax: 228-864-0425 | |
Dr. Malcolm Scott Dean, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-5201 Fax: 228-867-3152 | |
Matthew Jacob Murray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12330 Ashley Dr, Gulfport, MS 39503 Phone: 228-831-1572 Fax: 228-831-1218 |