| John Richard Untisz, DO | |
|
301 Fisher St, Biloxi, MS 39534-2508 | |
| (228) 376-3627 | |
| (228) 376-0047 |
| Full Name | John Richard Untisz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 301 Fisher St, Biloxi, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932430360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02003929A (Indiana) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 02003929A (Indiana) | Primary |
| Entity Name | Parkview Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
| Mailing Address | Practice Location Address |
|---|---|
| John Richard Untisz, DO 301 Fisher St, Biloxi, MS 39534-2508 Ph: (228) 376-3627 | John Richard Untisz, DO 301 Fisher St, Biloxi, MS 39534-2508 Ph: (228) 376-3627 |
Danielle Kusserow Bersabe, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Cedar Lake Rd Ste R, Biloxi, MS 39532 Phone: 228-207-0260 | |
Kyle Quist, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 601-988-4698 | |
Eva Magiros, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532 Phone: 228-392-7429 Fax: 228-396-3830 | |
Dr. David Paul Demasters, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-3629 | |
Dr. Michael Heath Haggard, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-0576 Fax: 228-376-0103 | |
Robert J Bonhomme, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 Fax: 228-523-4322 | |
Dr. Belinda Alexander, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2771 Pass Rd, Suite A, Biloxi, MS 39531 Phone: 228-385-4645 Fax: 228-385-4695 |