Walthall General Hospital | |
100 Hospital Drive Tylertown MS 39667 | |
(601) 876-2122 | |
(601) 876-0432 |
Full Name | Walthall General Hospital |
---|---|
Speciality | Emergency Medicine |
Location | 100 Hospital Drive, Tylertown, Mississippi |
Authorized Official Name and Position | Ben Hester (CFO) |
Authorized Official Contact | 6012884225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Walthall General Hospital Po Box 15722 Hattiesburg MS 39404 Ph: (601) 288-1889 | Walthall General Hospital 100 Hospital Drive Tylertown MS 39667 Ph: (601) 876-2122 |
NPI Number | 1245512417 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 09/12/2017 |
Medicare PECOS PAC ID | 3678766094 |
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Medicare Enrollment ID | O20111103000238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245512417 | NPI | - | NPPES |
09013588 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11-257 (Mississippi) | Secondary |
207P00000X | Emergency Medicine | 11-257 (Mississippi) | Primary |
Provider Name | Eric W Enger |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1265442594 PECOS PAC ID: 8729057351 Enrollment ID: I20040929001137 |
Provider Name | Robert G Wilkins |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1598875304 PECOS PAC ID: 5496724031 Enrollment ID: I20040929001196 |
Provider Name | Thad F Waites |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1588773774 PECOS PAC ID: 5294718045 Enrollment ID: I20040929001219 |
Provider Name | Thomas S Messer |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1639284888 PECOS PAC ID: 7618946260 Enrollment ID: I20040929001248 |
Provider Name | Johnny R Bullock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043268709 PECOS PAC ID: 3971562976 Enrollment ID: I20041006000254 |
Provider Name | Arthur C Martin |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1821103185 PECOS PAC ID: 6709830185 Enrollment ID: I20050309000113 |
Provider Name | Benjamin Talbot Rester |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1568545176 PECOS PAC ID: 1254372212 Enrollment ID: I20050519000664 |
Provider Name | Lawrence J Leader |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1508970211 PECOS PAC ID: 8022088954 Enrollment ID: I20050616000373 |
Provider Name | Patricia Ann Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821032236 PECOS PAC ID: 5991729816 Enrollment ID: I20060118000960 |
Provider Name | Steven Stogner |
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Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1699884288 PECOS PAC ID: 2961485719 Enrollment ID: I20060418000367 |
Provider Name | George J Blair |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1902835234 PECOS PAC ID: 5799788147 Enrollment ID: I20060824000463 |
Provider Name | Walid Younis |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1619018983 PECOS PAC ID: 8022100619 Enrollment ID: I20070828000302 |
Provider Name | Craig Thieling |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1952409609 PECOS PAC ID: 0244258556 Enrollment ID: I20080804000338 |
Provider Name | Wissam K Mechleb |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1487841847 PECOS PAC ID: 2961667712 Enrollment ID: I20120629000397 |
Provider Name | Christopher W Blackwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982964565 PECOS PAC ID: 3173789047 Enrollment ID: I20120720000179 |
Provider Name | Carol Hobgood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093137309 PECOS PAC ID: 7719117795 Enrollment ID: I20140313001926 |
Provider Name | Christopher John Douglas |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1427251511 PECOS PAC ID: 0941350102 Enrollment ID: I20150825003833 |
Provider Name | Christopher M Hinson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952780066 PECOS PAC ID: 8426364829 Enrollment ID: I20180124001699 |
Provider Name | Adam Harless |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1851653315 PECOS PAC ID: 0941429963 Enrollment ID: I20200709002502 |
Provider Name | Katherine Elizabeth Schubert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891320164 PECOS PAC ID: 5395145270 Enrollment ID: I20210615000468 |
Provider Name | Erin Broome Riley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255063996 PECOS PAC ID: 7416330717 Enrollment ID: I20220823000845 |
Family Medicine Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5835 Fax: 601-876-5295 | |
Tylertown Surgical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-4961 Fax: 601-876-9172 | |
Walthal Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-5303 | |
Harish M. Madnani M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Hospital Dr, B, Tylertown, MS 39667 Phone: 601-876-6006 Fax: 601-876-3603 | |
Walthall General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-2122 Fax: 601-222-0432 | |
Blackwell's Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Ball Ave, Tylertown, MS 39667 Phone: 601-303-8264 |