| John M Guice, MD | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 268-5888 | |
| (601) 261-3587 |
| Full Name | John M Guice |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 415 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 |
|---|---|---|---|
| 1760492805 | NPI | - | NPPES |
| 640507572ZF | Other | MS | AMERICAN ADMIN GROUP |
| 1419729 | Medicaid | LA | |
| 00123945 | Medicaid | MS | |
| P00249189 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 11361 (Mississippi) | Primary |
| Entity Name | Highland Community Hospital Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275887499 PECOS PAC ID: 5193970523 Enrollment ID: O20130308000320 |
| Mailing Address | Practice Location Address |
|---|---|
| John M Guice, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5888 | John M Guice, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5888 |
Dr. Hal T Liddell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 139 Fairfield Dr, Hattiesburg, MS 39402 Phone: 601-450-2401 Fax: 601-450-2433 | |
John Moore, Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
Sean Philip Douglas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-579-5240 | |
Dr. Nathan P Shappley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 101 Aldersgate Cir, Hattiesburg, MS 39402 Phone: 601-261-5800 Fax: 601-261-5813 | |
Bradley N Secrest, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
Woodie J Wilson Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
David C Stout, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4 Pebble Crk, Hattiesburg, MS 39402 Phone: 601-261-9323 |