| Jaime D Castillo Jr, MD | |
|
1002 E Madison St, Houston, MS 38851-2428 | |
| (662) 456-3000 | |
| (662) 456-9439 |
| Full Name | Jaime D Castillo Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 1002 E Madison St, Houston, 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 |
|---|---|---|---|
| 1538179536 | NPI | - | NPPES |
| 07421365 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18283 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Bruce, MS | Home health agency |
| Mississippi Homecare Of Eupora | Eupora, MS | Home health agency |
| Kindred At Home | Columbus, MS | Home health agency |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Health Corp Of Houston, Inc. | 0042102352 | 3 |
| Progressive Health Of Houston Llc | 0143662429 | 11 |
| Entity Name | Southern Health Corp Of Houston, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942484365 PECOS PAC ID: 0042102352 Enrollment ID: O20040422000717 |
| Entity Name | Progressive Health Of Houston Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639936396 PECOS PAC ID: 0143662429 Enrollment ID: O20240910003027 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime D Castillo Jr, MD Po Box 432, Houston, MS 38851-0432 Ph: (662) 456-3700 | Jaime D Castillo Jr, MD 1002 E Madison St, Houston, MS 38851-2428 Ph: (662) 456-3000 |
Noel Villarosa Garcia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 E Madison St, Houston, MS 38851 Phone: 662-448-6213 Fax: 662-448-6215 | |
Derek Moeller, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 208 Country Club Rd, Houston, MS 38851 Phone: 662-456-3437 Fax: 662-452-2070 |