| Dr Inez M Kelleher, MD | |
|
1340 Broad Ave, Ste 450, Gulfport, MS 39503 | |
| (228) 867-5012 | |
| (228) 867-5262 |
| Full Name | Dr Inez M Kelleher |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 36 Years |
| Location | 1340 Broad Ave, Gulfport, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588725519 | NPI | - | NPPES |
| 07555001 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 16601 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Inez M Kelleher, MD 1397 Broad Ave, Gulfport, MS 39501-2419 Ph: (228) 575-1945 | Dr Inez M Kelleher, MD 1340 Broad Ave, Ste 450, Gulfport, MS 39503 Ph: (228) 867-5012 |
Philip D Myers, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Dr. Timothy D Jackson, MD, SA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-304-9436 | |
Dr. William Lewis Seidensticker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Bayou Pl, Gulfport, MS 39503 Phone: 222-889-6708 | |
Dr. Eric Jude Letonoff, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Raymond A Long, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1397 Broad Ave, Gulfport, MS 39501 Phone: 228-867-5012 | |
Eric J Graham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-679-3038 |