Dr Alton Henry Dauterive, MD, FACS | |
1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 | |
(228) 864-0092 | |
(228) 867-6423 |
Full Name | Dr Alton Henry Dauterive |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 44 Years |
Location | 1340 Broad Ave, Gulfport, 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 |
---|---|---|---|
1558491589 | NPI | - | NPPES |
00117914 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 10998 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital At Gulfport | 2466524012 | 385 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Dr Alton Henry Dauterive, MD, FACS Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 864-0092 | Dr Alton Henry Dauterive, MD, FACS 1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 Ph: (228) 864-0092 |
Michael E Moses, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite250, Gulfport, MS 39503 Phone: 228-539-8100 | |
David Jason Bailey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1312 44th Ave, Gulfport, MS 39501 Phone: 228-539-5858 | |
Joseph A Graham, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Avenue, Suite 220, Gulfport, MS 39501 Phone: 228-575-1300 Fax: 228-867-6423 | |
Amy Lynn Scheller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-539-0489 | |
Larry H Killebrew, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Donald Allan Balder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-265-5945 Fax: 228-284-1580 | |
Kristine Marie Carter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 240, Gulfport, MS 39501 Phone: 228-575-1200 Fax: 228-575-1205 |