| Walter Risley, MD | |
|
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
| (228) 818-0563 | |
| (228) 818-0519 |
| Full Name | Walter Risley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 2809 Denny Ave, Pascagoula, 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 |
|---|---|---|---|
| 1164500732 | NPI | - | NPPES |
| 00122396 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16867 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Singing River Health System | Pascagoula, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson County Anesthesia | 9931292729 | 32 |
| Entity Name | Jackson County Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922159219 PECOS PAC ID: 9931292729 Enrollment ID: O20070913000898 |
| Entity Name | Magnolia State Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962279711 PECOS PAC ID: 1951753888 Enrollment ID: O20240116004675 |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Risley, MD 22 Doctors Dr, Suite C, Ocean Springs, MS 39564 Ph: (228) 818-0563 | Walter Risley, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 818-0563 |
Leah Mcmahan, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-818-0563 Fax: 228-818-0519 | |
Durga Yarlagadda, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-818-0563 Fax: 228-818-0519 | |
Darren Cuevas, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5540 Fax: 228-809-1153 | |
Robert Frederick Evans, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Zachary Weldon Greene, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 Fax: 678-553-8152 | |
Gregory Wawryszczuk, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-818-0563 Fax: 228-818-0519 |