| Roy David Pennington, MD | |
|
215 Marion Ave, Mccomb, MS 39648-2705 | |
| (601) 249-1166 | |
| Not Available |
| Full Name | Roy David Pennington |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 215 Marion Ave, Mccomb, 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 |
|---|---|---|---|
| 1770690091 | NPI | - | NPPES |
| 050078275 | Other | MS | MEDICARE RAILROAD |
| 00112194 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 13496 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mccomb Anesthesia Associates, Llp | 6204823891 | 14 |
| Entity Name | Mccomb Anesthesia Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619916533 PECOS PAC ID: 6204823891 Enrollment ID: O20040427000438 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy David Pennington, MD 1014 Cedar Ln, Summit, MS 39666-5103 Ph: (601) 324-9403 | Roy David Pennington, MD 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-1166 |
Ashraf E Riad, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 | |
Stuart Gross, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Rawls Dr Ste 1500, Mccomb, MS 39648 Phone: 601-680-4599 Fax: 601-680-4585 | |
Mohammad Hazem Ibrahim Ahmad Sabry, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 215 S Magnolia St, Mccomb Nopain Clinic, Mccomb, MS 39648 Phone: 601-250-1055 Fax: 601-250-1057 | |
Jeanne Ann Rea, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 |