| John L Herzog Sr, MD | |
|
1421 E Union St, Greenville, MS 38703-3247 | |
| (662) 335-0183 | |
| (662) 335-7184 |
| Full Name | John L Herzog Sr |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 45 Years |
| Location | 1421 E Union St, Greenville, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093734949 | NPI | - | NPPES |
| 060000624 | Other | MS | MEDICARE |
| 00123017 | Medicaid | MS | |
| 126236001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 09800 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grace Community Hospice | Cleveland, MS | Hospice |
| Delta Regional Medical Center | Greenville, MS | Hospital |
| Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
| South Sunflower County Hospital | Indianola, MS | Hospital |
| Bolivar Medical Center | Cleveland, MS | Hospital |
| Ms Care Center Of Greenville | Greenville, MS | Nursing home |
| Entity Name | Delta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
| Entity Name | Delta Heart & Vascular Center, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174506281 PECOS PAC ID: 1355390063 Enrollment ID: O20050120000416 |
| Entity Name | Delta Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
| Entity Name | Advanced Medical Imaging Of Greenwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982283008 PECOS PAC ID: 8921408295 Enrollment ID: O20210609000728 |
| Mailing Address | Practice Location Address |
|---|---|
| John L Herzog Sr, MD Po Box 5368, Greenville, MS 38704-5368 Ph: (662) 394-0107 | John L Herzog Sr, MD 1421 E Union St, Greenville, MS 38703-3247 Ph: (662) 335-0183 |
Nouhad O Kronfol, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1997 Medical Park Dr, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Deepali Ramdas Kale, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-378-1311 Fax: 662-335-2001 | |
J Barry Gillespie, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-378-0280 | |
Dr. Wilson M Parry, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Ravi V Patel, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 | |
Dr. Jerry Milton Cunningham, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 521 Fairview, Greenville, MS 38701 Phone: 662-334-9182 Fax: 662-335-5320 |