| Elizabeth Reagan Francis Rose, MD | |
|
3 Thompson Park, Hattiesburg, MS 39401-8202 | |
| (601) 579-3130 | |
| (601) 544-3688 |
| Full Name | Elizabeth Reagan Francis Rose |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 17 Years |
| Location | 3 Thompson Park, Hattiesburg, 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 |
|---|---|---|---|
| 1790926780 | NPI | - | NPPES |
| 6116388 | Other | MS | HEALTHSPRING |
| 05735373 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 22149 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Reagan Francis Rose, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3130 | Elizabeth Reagan Francis Rose, MD 3 Thompson Park, Hattiesburg, MS 39401-8202 Ph: (601) 579-3130 |
William Lowe Waller Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Thompson Park, Hattiesburg, MS 39401 Phone: 601-579-3130 Fax: 601-264-5092 | |
Steven C Shapiro, MD Dermatology Medicare: Medicare Enrolled Practice Location: 323 Woodshire Dr, Hattiesburg, MS 39402 Phone: 601-434-3938 | |
Stephen L Conerly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190 | |
Mark A Gallardo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190 | |
Dr. Rebecca Duff, MD Dermatology Medicare: Medicare Enrolled Practice Location: 40 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-296-3405 Fax: 601-296-3409 | |
Lauren Ackerman, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 E Hospital Dr, Hattiesburg, MS 39402 Phone: 601-475-9968 | |
Maureen Offiah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-579-5240 |