| Dr William Richard Boyte, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 815-8173 | |
| Not Available |
| Full Name | Dr William Richard Boyte |
|---|---|
| Gender | Male |
| Speciality | Hospice/palliative Care |
| Experience | 38 Years |
| Location | 2500 N State St, Jackson, 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 |
|---|---|---|---|
| 1285676908 | NPI | - | NPPES |
| 00113727 | Medicaid | MS | |
| 1677671 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 11699 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fgh Physician Billing | 1850344946 | 17 |
| Entity Name | Fgh Physician Billing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Richard Boyte, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-8173 | Dr William Richard Boyte, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-8173 |
Lauren K Tucker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5260 Fax: 601-984-2652 | |
Kavipriya Komeswaran, Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005 Fax: 601-815-0434 | |
Emily S Weber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-4520 Fax: 601-984-5982 | |
Mr. Marcelo Eduardo Rains, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Ummc Neonatology, Jackson, MS 39216 Phone: 601-984-1000 | |
Daniel Ulises Torres Arias, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 888-815-2005 | |
Logan Sears Havard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Dr. Eva Mae Henderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5150 Fax: 601-709-5151 |