Joseph A Proli, MD | |
404 S 13th Ave, Laurel, MS 39440-4345 | |
(601) 425-5544 | |
(601) 425-5525 |
Full Name | Joseph A Proli |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 404 S 13th Ave, Laurel, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538277843 | NPI | - | NPPES |
00115248 | Medicaid | MS | |
640507572YT | Other | MS | AMERICAN ADMIN GROUP |
P00249187 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 14393 (Mississippi) | Primary |
Entity Name | South Central Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700934676 PECOS PAC ID: 8325946411 Enrollment ID: O20031229000259 |
Entity Name | Forrest County General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
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 |
Entity Name | South Central Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Joseph A Proli, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 425-5544 | Joseph A Proli, MD 404 S 13th Ave, Laurel, MS 39440-4345 Ph: (601) 425-5544 |
Bassam K Mechleb, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 | |
John M. Wallace, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Dr. Hamit Kumar, M.B.B.S Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863 | |
Carolyn Cegielski, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Willus Mark Horne, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Joel Thomas Shores, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
David L Harrison, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |