| Thomas E King Iii, MD | |
|
6414 U S Highway 98 Ste 120, Hattiesburg, MS 39402-7838 | |
| (601) 296-2833 | |
| (601) 261-5175 |
| Full Name | Thomas E King Iii |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 26 Years |
| Location | 6414 U S Highway 98 Ste 120, Hattiesburg, 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 |
|---|---|---|---|
| 1043324809 | NPI | - | NPPES |
| 1419893 | Medicaid | LA | |
| 640507572XZ | Other | MS | AMERICAN ADMIN GROUP |
| 009937023 | Medicaid | AL | |
| 02581770 | Medicaid | MS | |
| P00184285 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17763 (Mississippi) | Primary |
| 208M00000X | Hospitalist | 17763 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 525 |
| Forrest County General Hospital | 1052397767 | 107 |
| 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 |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E King Iii, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 296-2833 | Thomas E King Iii, MD 6414 U S Highway 98 Ste 120, Hattiesburg, MS 39402-7838 Ph: (601) 296-2833 |
Kabeer Burman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7148 U S Highway 98 Ste 101, Hattiesburg, MS 39402 Phone: 601-261-1500 Fax: 769-207-6142 |
Laurie Evans Douglas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290 |
Dr. Charles Ramsey Mccollum Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212 |
Porter Hudson Glover, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778 |
Alex Gauthier, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 |
Ralph C Kahler, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-296-2976 Fax: 601-579-5240 |
Dr. Vashishtha Patel, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499 |