| Hilton L Gillespie Jr, MD | |
|
421 S 28th Ave, Hattiesburg, MS 39401-7236 | |
| (601) 268-5640 | |
| (601) 261-3507 |
| Full Name | Hilton L Gillespie Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 421 S 28th Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871503086 | NPI | - | NPPES |
| 1559147 | Other | MS | AMERICAN ADMIN GROUP |
| 1758183 | Medicaid | LA | |
| 00016240 | Medicaid | MS | |
| 162798950 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 09967 (Mississippi) | Primary |
| 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 |
|---|---|
| Hilton L Gillespie Jr, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5640 | Hilton L Gillespie Jr, MD 421 S 28th Ave, Hattiesburg, MS 39401-7236 Ph: (601) 268-5640 |
Jeffrey L Hudson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Christina Lynn Goodridge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave Ste 200, Hattiesburg, MS 39401 Phone: 601-268-5640 | |
Dr. William L Pace, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559 | |
Kelly R O'neal, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Eldred J Wiser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559 | |
Lauren Ayres Bethea, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Eugene Linwood Shannon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4550 Fax: 601-582-3373 |