| Michael J Boland, MD | |
|
255 Baptist Blvd, Suite 402, Columbus, MS 39705 | |
| (662) 240-1412 | |
| (662) 240-1949 |
| Full Name | Michael J Boland |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 255 Baptist Blvd, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104867936 | NPI | - | NPPES |
| 730-73298 | Other | AL | BLUE CROSS BLUE SHIELD |
| 0115039 | Medicaid | MS | |
| 730-01754 | Other | AL | BLUE CROSS BLUE SHIELD |
| 730-05844 | Other | AL | BLUE CROSS BLUE SHIELD |
| 730-05954 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009601740 | Medicaid | AL |
| Entity Name | North Mississippi Gilmore Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225502370 PECOS PAC ID: 2961745195 Enrollment ID: O20190510000063 |
| Entity Name | Monroe Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225605942 PECOS PAC ID: 8224376561 Enrollment ID: O20210823003061 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Boland, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: (901) 227-4068 | Michael J Boland, MD 255 Baptist Blvd, Suite 402, Columbus, MS 39705 Ph: (662) 240-1412 |
Fakhri Dalati, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-2041 | |
Dr. Connie Harris Scurti, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 301, Columbus, MS 39705 Phone: 662-244-1705 Fax: 662-227-4301 | |
Dr. Michael R Duckworth, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2225 5th St N, Columbus, MS 39705 Phone: 662-327-0197 Fax: 662-327-5660 | |
Dr. Madhukar Saran, M.D Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 824 Alabama St, Columbus, MS 39702 Phone: 662-244-0391 Fax: 662-244-0395 | |
Dr. Paul J Scurti, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 301, Columbus, MS 39705 Phone: 662-244-1705 Fax: 662-227-4301 | |
Wail Alnas, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 345 Baptist Blvd, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2763 |