Dr Thomas Blanks, MD | |
1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 | |
(228) 864-0314 | |
(228) 864-0425 |
Full Name | Dr Thomas Blanks |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1110 Broad Ave, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063452639 | NPI | - | NPPES |
00112507 | Medicaid | MS | |
P00651241 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 08702 (Mississippi) | Primary |
Entity Name | Memorial Hospital At Gulfport |
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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 Thomas Blanks, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 865-1453 | Dr Thomas Blanks, MD 1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 Ph: (228) 864-0314 |
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 | |
Dr. Fahad Javed, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4215 15th St, Gulfport, MS 39501 Phone: 228-863-5211 Fax: 228-863-4101 | |
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 | |
James K. Campbell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 240, Gulfport, MS 39503 Phone: 228-575-7104 Fax: 228-539-6766 | |
Dr. Stephanie Fussell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave Ste 330, Gulfport, MS 39501 Phone: 228-575-1234 Fax: 228-867-4828 | |
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 |