| Ediz Tasan, MD | |
|
4300 Hospital St Ste 102, Pascagoula, MS 39581 | |
| (228) 762-1002 | |
| Not Available |
| Full Name | Ediz Tasan |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 13 Years |
| Location | 4300 Hospital St Ste 102, Pascagoula, 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 |
|---|---|---|---|
| 1053670166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R3053 (Kentucky) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 26840 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Merit Health Biloxi | Biloxi, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Mississippi Cardiovascular Center Of Excellence Llc | 4587048699 | 5 |
| Entity Name | Southern Ms Heart Center,pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306062641 PECOS PAC ID: 9739171463 Enrollment ID: O20040401000678 |
| 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 |
| Entity Name | Mississippi Cardiovascular Center Of Excellence Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205561099 PECOS PAC ID: 4587048699 Enrollment ID: O20220908000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Ediz Tasan, MD 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564-5710 Ph: (228) 872-4040 | Ediz Tasan, MD 4300 Hospital St Ste 102, Pascagoula, MS 39581 Ph: (228) 762-1002 |
Dr. Randy Roth, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
James Lee Harwell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Dr. Edgar Hull, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Olusola Isikalu, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-762-0712 | |
Hugo A Quintana, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St Ste 202, Pascagoula, MS 39581 Phone: 228-372-8270 Fax: 228-372-8270 | |
Thomas E. Stevens Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |