Dr Charles Erickson Probst, DO | |
2313 Highway 15 N, Laurel, MS 39440-1805 | |
(601) 649-2775 | |
(601) 579-5240 |
Full Name | Dr Charles Erickson Probst |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 2313 Highway 15 N, Laurel, 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 |
---|---|---|---|
1477864585 | NPI | - | NPPES |
07689072 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO1073 (Alabama) | Secondary |
207Q00000X | Family Medicine | 20941 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Home Care | Hattiesburg, MS | Home health agency |
South Central Reg Med Ctr | Laurel, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Coastal Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Erickson Probst, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 649-2775 | Dr Charles Erickson Probst, DO 2313 Highway 15 N, Laurel, MS 39440-1805 Ph: (601) 649-2775 |
Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970 | |
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281 | |
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628 | |
Dr. Mona Genelle Pernia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Callissa G Ladner, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1706 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 Fax: 601-649-7805 | |
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827 |