| John D Sobiesk, MD | |
|
1605 S 28th Ave, Hattiesburg, MS 39402-3110 | |
| (601) 579-3310 | |
| (601) 264-0231 |
| Full Name | John D Sobiesk |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 35 Years |
| Location | 1605 S 28th Ave, Hattiesburg, 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 |
|---|---|---|---|
| 1508975178 | NPI | - | NPPES |
| 00116692 | Medicaid | MS | |
| 640507572AT | Other | MS | AMERICAN ADMIN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 14826 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Highland Community Hospital | Picayune, MS | Hospital |
| George Regional Health System | Lucedale, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fgh Physician Billing | 1850344946 | 17 |
| 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 |
| Entity Name | Fgh Physician Billing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Sobiesk, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3310 | John D Sobiesk, MD 1605 S 28th Ave, Hattiesburg, MS 39402-3110 Ph: (601) 579-3310 |
Charles Palmer Lincoln, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 248 Crystal Crk, Hattiesburg, MS 39402 Phone: 601-310-2595 | |
Larry Hale Day, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 107 Millsaps Drive, Hattiesburg, MS 39402 Phone: 601-268-5131 Fax: 601-268-5138 | |
Michael J Hammett, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1605 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-264-5684 Fax: 601-264-0231 | |
John Logan Sobiesk, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1605 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-579-3310 Fax: 601-264-0231 | |
Andrew Merlan Nida, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1605 S 28th Ave, Hattiesburg, MS 39402 Phone: 601-579-3310 Fax: 601-579-5240 | |
Charles Edwin Guice Iii, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 107 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-268-5131 Fax: 601-268-5138 |