Dr Alton Henry Dauterive, MD, FACS - Medicare Vascular Surgery in Gulfport, MS

Dr Alton Henry Dauterive, MD, FACS is a medicare enrolled "Surgery - Vascular Surgery" physician in Gulfport, Mississippi. He went to Tulane University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is 1340 Broad Ave, Suite 220, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 864-0092.

Dr Alton Henry Dauterive is licensed to practice in Mississippi (license number 10998) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558491589.

Contact Information

Dr Alton Henry Dauterive, MD, FACS
1340 Broad Ave, Suite 220,
Gulfport, MS 39501-2404
(228) 864-0092
(228) 867-6423

Map and Direction




Physician's Profile

Full NameDr Alton Henry Dauterive
GenderMale
SpecialityVascular Surgery
Experience44 Years
Location1340 Broad Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alton Henry Dauterive attended and graduated from Tulane University School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1558491589
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315843794
  • Enrollment ID: I20040102000607

Medical Identifiers

Medical identifiers for Dr Alton Henry Dauterive such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558491589NPI-NPPES
00117914MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 10998 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012385

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alton Henry Dauterive allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alton Henry Dauterive is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Surgery Doctors in Gulfport, MS

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Kristine Marie Carter, M.D.
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Phone: 228-575-1200    Fax: 228-575-1205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.