Matthew Martin, | |
1220 Jefferson St, Laurel, MS 39440-4355 | |
(601) 428-0100 | |
(601) 428-0100 |
Full Name | Matthew Martin |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1220 Jefferson St, 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 |
---|---|---|---|
1023579190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 32831 (Mississippi) | Primary |
Entity Name | Radiology Associates, Pa |
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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 |
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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: Accepting Medicare Assignments Practice Location: 227 S 13th Ave, Laurel, MS 39440 Phone: 601-709-2145 |