| Stephen L Harless, MD | |
|
101 Weems St, Purvis, MS 39475-4062 | |
| (601) 794-2224 | |
| (601) 794-6392 |
| Full Name | Stephen L Harless |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 101 Weems St, Purvis, 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 |
|---|---|---|---|
| 1336151976 | NPI | - | NPPES |
| 1739782 | Medicaid | LA | |
| 640507572MA | Other | MS | AMERICAN ADMIN GROUP |
| 00117512 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10694 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Home Care | Hattiesburg, MS | Home health agency |
| Homechoice Health Services- Hattiesburg | Hattiesburg, MS | Home health agency |
| Forrest General Home Care And Hospice | Hattiesburg, MS | Hospice |
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Lamar Healthcare & Rehabilitation Center | Lumberton, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Harless, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-2224 | Stephen L Harless, MD 101 Weems St, Purvis, MS 39475-4062 Ph: (601) 794-2224 |
Kaitlyn Rousse Warren, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Christopher Ryan Rawls, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240 | |
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432 | |
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Mr. Bruce Grissom Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 |