Mary R King, PA-C - Medicare Physician Assistant in Gulfport, MS

Mary R King, PA-C is a medicare enrolled "Physician Assistant" in Gulfport, Mississippi. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Dermatology Clinic, Pllc and her current practice location is 11295 E Taylor Rd, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 864-3300.

Mary R King is licensed to practice in Mississippi (license number PA00646) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821624370.

Contact Information

Mary R King, PA-C
11295 E Taylor Rd,
Gulfport, MS 39503-4197
(228) 864-3300
(228) 864-3333

Map and Direction




Provider's Profile

Full NameMary R King
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location11295 E Taylor Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary R King attended and graduated from University Of Alabama School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1821624370
  • Provider Enumeration Date: 03/17/2020
  • Last Update Date: 05/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749611887
  • Enrollment ID: I20220422000925

Medical Identifiers

Medical identifiers for Mary R King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821624370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA.1595 (Alabama)Secondary
363A00000XPhysician Assistant PA00646 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Singing River Health SystemPascagoula, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Dermatology Clinic, Pllc81231296736

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary R King is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary R King, PA-C
11295 E Taylor Rd,
Gulfport, MS 39503-4197

Ph: (228) 864-3300
Mary R King, PA-C
11295 E Taylor Rd,
Gulfport, MS 39503-4197

Ph: (228) 864-3300

Reviews and Comments


Physician Assistant Nurses in Gulfport, MS

Mrs. Amanda Leblanc Harris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503
Phone: 228-864-3300    Fax: 228-864-3333
Wesley Armstrong, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jessica Lofton,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501
Phone: 228-822-5770    
Regal Cox, CST, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Kassie Stafford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503
Phone: 228-864-3300    Fax: 228-864-3333
John Miyakawa, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12337 Ashley Dr, Suite F, Gulfport, MS 39503
Phone: 228-365-6932    
Thuy T Tran, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 431 Security Sq, Gulfport, MS 39507
Phone: 985-643-4575    Fax: 833-222-4520

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.