| Meridian Gastroenterology, Pllc | |
|
1800 12th St Suite 1d Meridian MS 39301-4158 | |
| (601) 703-9165 | |
| (601) 703-9483 |
| Full Name | Meridian Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 12th St, Meridian, Mississippi |
| Authorized Official Name and Position | Vincent Craig Dungan (OWNER) |
| Authorized Official Contact | 6017039165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meridian Gastroenterology, Pllc Po Box 1769 Meridian MS 39302-1769 Ph: (601) 703-9506 | Meridian Gastroenterology, Pllc 1800 12th St Suite 1d Meridian MS 39301-4158 Ph: (601) 703-9165 |
| NPI Number | 1588622856 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6709879240 |
|---|---|
| Medicare Enrollment ID | O20040408000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588622856 | NPI | - | NPPES |
| DA7569 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Vincent C Dungan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134102296 PECOS PAC ID: 3678566114 Enrollment ID: I20040412000458 |
| Provider Name | Teresa B Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780682807 PECOS PAC ID: 0749472199 Enrollment ID: I20101005000005 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |