| Matthew Martin, | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 428-0100 | |
| (601) 428-0100 |
| Full Name | Matthew Martin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 1220 Jefferson St, Laurel, 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 |
|---|---|---|---|
| 1023579190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 32831 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Radiology Associates, Pa | 2163404625 | 4 |
| Entity Name | Radiology Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942214846 PECOS PAC ID: 2163404625 Enrollment ID: O20040607001166 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Martin, 585 Clubhouse Dr, Pearl, MS 39208-9506 Ph: (601) 433-9222 | Matthew Martin, 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 428-0100 |
Steven Blaine Quin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-428-0100 | |
Dr. Ronald Gatewood, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-428-0100 | |
Dr. L. Cameron Pimperl, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 127 S 13th Ave, Laurel, MS 39440 Phone: 601-425-2999 Fax: 601-425-3286 | |
Dr. Peeler Lacey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 | |
Dr. Daniel Frederick Vial, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4050 | |
Dr. Dana Chard, M. D. Radiology Medicare: Medicare Enrolled Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 |