| Dr Gachavis M Green, DPM | |
|
34 Franklin Rd, Hattiesburg, MS 39402-1318 | |
| (601) 268-0400 | |
| (601) 264-3150 |
| Full Name | Dr Gachavis M Green |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 34 Franklin Rd, 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 |
|---|---|---|---|
| 1376848077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 5901002375 (Michigan) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 80220 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ochsner Mississippi, Llc | 0143580993 | 80 |
| Provider Name | Ochsner Mississippi, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gachavis M Green, DPM Po Box 16235, Hattiesburg, MS 39404-6235 Ph: (601) 268-0400 | Dr Gachavis M Green, DPM 34 Franklin Rd, Hattiesburg, MS 39402-1318 Ph: (601) 268-0400 |
Foot Clinic Of Hattiesburg, P.a. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 710 S 28th Ave, Ste B, Hattiesburg, MS 39402 Phone: 601-264-5793 | |
Michael Sean Zaleski, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-268-0400 Fax: 601-296-3251 | |
Hattiesburg Clinic Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 1101b S 28th Ave, Hattiesburg, MS 39402 Phone: 601-579-5117 Fax: 601-261-0889 | |
Hattiesburg Clinic, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 908 W Pine St, Hattiesburg, MS 39401 Phone: 601-579-3022 Fax: 601-543-0472 | |
Dr. Michael S. Zaleski Podiatrist Medicare: Medicare Enrolled Practice Location: 34 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-268-0400 Fax: 601-264-3150 | |
Suyon Rhee, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1101b S 28th Ave, Hattiesburg, MS 39402 Phone: 601-579-5117 Fax: 601-261-0889 |