| Larry H Killebrew, MD | |
|
4500 13th St, Gulfport, MS 39501-2515 | |
| (228) 865-3151 | |
| (228) 867-4124 |
| Full Name | Larry H Killebrew |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4500 13th St, Gulfport, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265514301 | NPI | - | NPPES |
| 00119198 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 08371 (Mississippi) | Primary |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Keystone Medical Services Of Gulfport Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881070183 PECOS PAC ID: 7113221011 Enrollment ID: O20160215000517 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Singing River Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
| Entity Name | Rh Emergency Medicine Of Marion General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841064110 PECOS PAC ID: 0648623744 Enrollment ID: O20240124004763 |
| Entity Name | Rh Emergency Medicine Of Highland Community Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033987946 PECOS PAC ID: 4587017918 Enrollment ID: O20240201000844 |
| Entity Name | Rh Hospitalist Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053173237 PECOS PAC ID: 2365881091 Enrollment ID: O20240415002150 |
| Entity Name | Rh Emergency Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356103527 PECOS PAC ID: 4789023201 Enrollment ID: O20240417001265 |
| Entity Name | Rh Emergency Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336901511 PECOS PAC ID: 7517306830 Enrollment ID: O20240419001361 |
| Entity Name | Rh Hospitalist Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174385355 PECOS PAC ID: 6103265145 Enrollment ID: O20240423003254 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry H Killebrew, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 | Larry H Killebrew, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 |
Michael E Moses, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite250, Gulfport, MS 39503 Phone: 228-539-8100 | |
David Jason Bailey, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1312 44th Ave, Gulfport, MS 39501 Phone: 228-539-5858 | |
Joseph A Graham, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Avenue, Suite 220, Gulfport, MS 39501 Phone: 228-575-1300 Fax: 228-867-6423 | |
Amy Lynn Scheller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-539-0489 | |
Donald Allan Balder, MD Surgery Medicare: Medicare Enrolled Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-265-5945 Fax: 228-284-1580 | |
Kristine Marie Carter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 240, Gulfport, MS 39501 Phone: 228-575-1200 Fax: 228-575-1205 |