| Biloxi Hma Physician Management Llc | |
|
147 Reynoir St Suite 203 Biloxi MS 39530-4109 | |
| (228) 436-1583 | |
| (228) 436-1591 |
| Full Name | Biloxi Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 147 Reynoir St, Biloxi, Mississippi |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biloxi Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7000 | Biloxi Hma Physician Management Llc 147 Reynoir St Suite 203 Biloxi MS 39530-4109 Ph: (228) 436-1583 |
| NPI Number | 1770537920 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 4880690288 |
|---|---|
| Medicare Enrollment ID | O20061006000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770537920 | NPI | - | NPPES |
| 06383020 | Medicaid | MS | |
| 01207807 | Medicaid | MS | |
| 08151281 | Medicaid | MS | |
| 04433025 | Medicaid | MS | |
| 05187063 | Medicaid | MS | |
| 07570526 | Medicaid | MS | |
| 02388061 | Medicaid | MS | |
| 08872257 | Medicaid | MS | |
| 04933778 | Medicaid | MS |
| Provider Name | Keith G Goodfellow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164573515 PECOS PAC ID: 8729162425 Enrollment ID: I20080219000576 |
| Provider Name | John H. Mallett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659317873 PECOS PAC ID: 6608065305 Enrollment ID: I20110112000108 |
| Provider Name | Navin V Barot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376659193 PECOS PAC ID: 1951290592 Enrollment ID: I20110614000808 |
| Provider Name | Dana S Richardson Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992063846 PECOS PAC ID: 2062661564 Enrollment ID: I20120926000776 |
| Provider Name | Latisha M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205128725 PECOS PAC ID: 5294905766 Enrollment ID: I20130402000022 |
| Provider Name | Robert Boatwright Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215011846 PECOS PAC ID: 0840226510 Enrollment ID: I20150709002196 |
| Provider Name | Joshua A Tyler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1215133830 PECOS PAC ID: 8224338488 Enrollment ID: I20151120000359 |
| Provider Name | Cameron Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265938898 PECOS PAC ID: 7911255575 Enrollment ID: I20230320001804 |
| Provider Name | Benjamin Watson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679078356 PECOS PAC ID: 6103176698 Enrollment ID: I20250110000670 |
Medical Foundation Of South Ms Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2771 Pass Rd, Suite B, Biloxi, MS 39531 Phone: 228-385-4645 Fax: 228-385-4695 | |
Healthstop Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Pass Rd, Biloxi, MS 39531 Phone: 228-207-9967 Fax: 228-273-1532 | |
Taylor Made Counseling Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Eisenhower Dr Ste B, Biloxi, MS 39531 Phone: 601-688-4118 Fax: 228-220-4226 | |
Geographic Medicine Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 Debuys Rd., 215, Biloxi, MS 39531 Phone: 228-594-6484 Fax: 228-594-6494 | |
Regional Digestive Specialists, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15012 Lemoyne Blvd, Biloxi, MS 39532 Phone: 228-392-5787 Fax: 228-354-9169 | |
Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2781 C T Switzer Sr Dr Ste 302, Biloxi, MS 39531 Phone: 228-388-4816 Fax: 228-388-5906 | |
Painstop Spine Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 180 Debuys Rd, Biloxi, MS 39531 Phone: 228-273-4096 Fax: 228-594-1765 |