| Keith Porter, | |
|
391 Southcrest Cir Ste 108, Southaven, MS 38671-4775 | |
| (662) 349-2659 | |
| Not Available |
| Full Name | Keith Porter |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 391 Southcrest Cir Ste 108, Southaven, 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 |
|---|---|---|---|
| 1376923649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 26479 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesia, Inc | 2769629187 | 108 |
| Entity Name | Medical Center Anesthesia, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447591730 PECOS PAC ID: 2769629187 Enrollment ID: O20130502000265 |
| Entity Name | Resource Anesthesiology Associates Of Tn Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316724073 PECOS PAC ID: 8527419092 Enrollment ID: O20240109002456 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Porter, 391 Southcrest Cir Ste 108, Southaven, MS 38671-4775 Ph: (901) 830-4211 | Keith Porter, 391 Southcrest Cir Ste 108, Southaven, MS 38671-4775 Ph: (662) 349-2659 |
Dr. Jay Paul Mcdonald Ii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 2, Southaven, MS 38671 Phone: 662-404-8630 | |
Sandra Joann Reed, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 | |
Rodney D. Rothstein, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 334-386-2053 Fax: 334-244-1830 | |
Jovie N. Bridgewater, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-4000 Fax: 334-244-1830 |