| Michael E Portner, MD | |
|
803 First Street, Cleveland, MS 38732 | |
| (662) 843-2721 | |
| Not Available |
| Full Name | Michael E Portner |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 46 Years |
| Location | 803 First Street, Cleveland, 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 |
|---|---|---|---|
| 1659439867 | NPI | - | NPPES |
| 00115736 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 09174 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rcg Cleveland | Cleveland, MS | Dialysis facility |
| Rcg Belzoni | Belzoni, MS | Dialysis facility |
| Rcg Indianola | Indianola, MS | Dialysis facility |
| Bolivar Medical Center | Cleveland, MS | Hospital |
| Greenwood Leflore Hospital | Greenwood, MS | Hospital |
| South Sunflower County Hospital | Indianola, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Delta Hills Nephrology Associates | 0941248579 | 4 |
| Delta Hills Nephrology Clinics Pllc | 4486098555 | 4 |
| Entity Name | Delta Hills Nephrology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841222437 PECOS PAC ID: 0941248579 Enrollment ID: O20050422000819 |
| Entity Name | Delta Hills Nephrology Clinics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811764475 PECOS PAC ID: 4486098555 Enrollment ID: O20240216000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Portner, MD Po Box 306, Delta Hills Nephrology Associates, Greenwood, MS 38935-0306 Ph: (662) 453-5208 | Michael E Portner, MD 803 First Street, Cleveland, MS 38732 Ph: (662) 843-2721 |
Matthew Bear, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 810 East Sunflower Rd Suite 100a, Cleveland, MS 38732 Phone: 662-843-3606 | |
Dr. Steven Glenn Clark, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 810 E Sunflower Rd, Cleveland, MS 38732 Phone: 662-843-3606 | |
Dr. Foluso A Fakorede, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 800 N Pearman Ave, Cleveland, MS 38732 Phone: 888-757-0838 Fax: 888-757-1835 | |
Zachary Connell Watters, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 810 E Sunflower Rd, Cleveland, MS 38732 Phone: 662-843-3606 Fax: 662-846-1194 |