| Ginger N Pace-herndon, MD | |
|
1016 Highway 42, Sumrall, MS 39482-9634 | |
| (601) 758-4215 | |
| (601) 758-0614 |
| Full Name | Ginger N Pace-herndon |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1016 Highway 42, Sumrall, 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 |
|---|---|---|---|
| 1649480971 | NPI | - | NPPES |
| 06425300 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20382 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 33 |
| Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134435498 PECOS PAC ID: 4183517253 Enrollment ID: O20110413000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Ginger N Pace-herndon, MD Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Ginger N Pace-herndon, MD 1016 Highway 42, Sumrall, MS 39482-9634 Ph: (601) 758-4215 |
William Walker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Merit Health Medical Group-sumrall, 4891 Hwy 589, Sumrall, MS 39482 Phone: 601-758-4606 Fax: 601-758-4615 | |
Jamie Goodwin Rawls, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 | |
Brandon L Coleman, D. O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 Highway 42, Sumrall, MS 39482 Phone: 601-758-4214 Fax: 601-758-0614 | |
John David Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3008 |