| Kent T Overmyer, MD | |
|
15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 | |
| (228) 831-0204 | |
| (228) 831-1868 |
| Full Name | Kent T Overmyer |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 15190 Community Rd, Gulfport, 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 |
|---|---|---|---|
| 1821104365 | NPI | - | NPPES |
| 00116845 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 01040603A (Indiana) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 14855 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Anesthesia Service Pa | 2062849763 | 8 |
| Coastal Chronic Pain Services, Pllc | 4880869452 | 2 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Coastal Chronic Pain Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134214331 PECOS PAC ID: 4880869452 Enrollment ID: O20111209000050 |
| Entity Name | Coastal Anesthesia Service Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255971016 PECOS PAC ID: 2062849763 Enrollment ID: O20200218002746 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent T Overmyer, MD 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 Ph: (228) 831-0204 | Kent T Overmyer, MD 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 Ph: (228) 831-0204 |
Stanley Turner, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Davis Hutto, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Matthew Blanchard, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd Ste B, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-546-3257 | |
Joshua Dibble, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-575-7290 Fax: 228-831-8766 | |
Juanita Derouen, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Mr. Marc L Simpkins, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-818-0563 Fax: 228-818-0519 | |
Dr. John C Briggs, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |