Berthold Beisel, MD | |
502 Broad St, Columbia, MS 39429-3037 | |
(601) 736-8282 | |
(601) 736-8333 |
Full Name | Berthold Beisel |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 502 Broad St, Columbia, 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 |
---|---|---|---|
1174546345 | NPI | - | NPPES |
1739685 | Medicaid | LA | |
P00007519 | Other | RAILROAD MEDICARE | |
03871775 | Medicaid | MS | |
640507572TL | Other | MS | AMERICAN ADMIN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 17957 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke Home Health Services | Mccomb, MS | Home health agency |
Camellia Home Health And Hospice | Hattiesburg, MS | Hospice |
Forrest General Hospital | Hattiesburg, MS | Hospital |
Marion General Hospital | Columbia, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forrest County General Hospital | 1052397767 | 82 |
Entity Name | Forrest County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | The Clinic At Farmers Medshoppe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487972568 PECOS PAC ID: 2466584982 Enrollment ID: O20100720000325 |
Mailing Address | Practice Location Address |
---|---|
Berthold Beisel, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 736-8282 | Berthold Beisel, MD 502 Broad St, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
Dr. Jonathan Ryohwan Jang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 W Lakeview Dr, Suite 2, Columbia, MS 39429 Phone: 601-444-4798 Fax: 601-444-5127 | |
Dr. Charles R. Griffith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 Fax: 601-261-2942 | |
Dr. Harry G. Hunt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1212 Broad St, Columbia, MS 39429 Phone: 601-444-9266 Fax: 601-444-9267 | |
Terra Leigh Parker, Family Medicine Medicare: Medicare Enrolled Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-579-5240 | |
Robert R Herrington Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-736-8533 | |
Dr. Stephen Marc Wascomb, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 554 Singley Rd, Columbia, MS 39429 Phone: 601-600-0036 |