| Irene K Koskan, MD | |
|
835 Thames Ave, Bay St Louis, MS 39520-5005 | |
| (228) 466-4977 | |
| (228) 463-0827 |
| Full Name | Irene K Koskan |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 48 Years |
| Location | 835 Thames Ave, Bay St Louis, 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 |
|---|---|---|---|
| 1831197862 | NPI | - | NPPES |
| 00018846 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09338 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Encompass Health Home Health Of Gulf Coast | Gulfport, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Ochsner Medical Center-hancock | Bay saint louis, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene K Koskan, MD Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 467-1202 | Irene K Koskan, MD 835 Thames Ave, Bay St Louis, MS 39520-5005 Ph: (228) 466-4977 |
Rowe Sanders Crowder Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 952 Green Meadow Rd, Bay St Louis, MS 39520 Phone: 228-463-1649 | |
Joseph Kulpeksa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 149 Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-467-8600 | |
James Clifton Crittenden, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Benigno Lane, Bay St Louis, MS 39520 Phone: 228-467-1414 Fax: 228-467-5863 |