| Biloxi Internal Medicine Clinic Pa | |
| 
					147 Reynoir Street Suite 204 Biloxi MS 39530  | |
| (228) 374-2051 | |
| (228) 374-5741 | 
| Full Name | Biloxi Internal Medicine Clinic Pa | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 147 Reynoir Street, Biloxi, Mississippi | 
| Authorized Official Name and Position | Marion Jean Wainwright (PRESIDENT) | 
| Authorized Official Contact | 2283742051 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Biloxi Internal Medicine Clinic Pa 147 Reynoir Street Suite 204 Biloxi MS 39530 Ph: (228) 374-2051  | Biloxi Internal Medicine Clinic Pa 147 Reynoir Street Suite 204 Biloxi MS 39530 Ph: (228) 374-2051  | 
| NPI Number | 1962464438 | 
|---|---|
| Provider Enumeration Date | 04/03/2006 | 
| Last Update Date | 05/02/2008 | 
| Medicare PECOS PAC ID | 9638249352 | 
|---|---|
| Medicare Enrollment ID | O20080605000875 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962464438 | NPI | - | NPPES | 
| 09012028 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Bennett W Cheney | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1083676548 PECOS PAC ID: 8628148350 Enrollment ID: I20080605000896  | 
| Provider Name | Yashashree L Bethala | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1659333052 PECOS PAC ID: 1254401946 Enrollment ID: I20080606000704  | 
| Provider Name | Gholam R Motakhaveri | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1790747269 PECOS PAC ID: 2961572664 Enrollment ID: I20080606000731  | 
| Provider Name | Marion J Wainwright | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1942262415 PECOS PAC ID: 9638249360 Enrollment ID: I20080606000736  | 
| Provider Name | Andrew J Peterson | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1306826854 PECOS PAC ID: 1456405208 Enrollment ID: I20090813000759  | 
| Provider Name | Brian Barbara | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1982232880 PECOS PAC ID: 8123430568 Enrollment ID: I20230817000720  | 
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  |