Dr Cierra Celeste Green, MD | |
66 Old Airport Rd, Hattiesburg, MS 39401 | |
(601) 544-7500 | |
(601) 544-7524 |
Full Name | Dr Cierra Celeste Green |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 66 Old Airport Rd, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063709525 | NPI | - | NPPES |
04774531 | Medicaid | MS | |
12684749 | Other | MS | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 23976 (Mississippi) | Primary |
207Q00000X | Family Medicine | 4301098722 (Michigan) | Secondary |
Entity Name | Ochsner Mississippi, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
Mailing Address | Practice Location Address |
---|---|
Dr Cierra Celeste Green, MD Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Dr Cierra Celeste Green, MD 66 Old Airport Rd, Hattiesburg, MS 39401 Ph: (601) 544-7500 |
Katherine O'neal Royals, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 | |
Nabih Alsheikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7100 U S Highway 98 Ste 240, Hattiesburg, MS 39402 Phone: 601-450-8822 Fax: 601-450-8821 | |
Glenn A Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4209 Lincoln Road, Hattiesburg, MS 39402 Phone: 601-579-5400 Fax: 601-261-3521 | |
Dr. Wayne A Hughes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-261-5710 Fax: 601-268-5058 | |
John Lloyd Martin, Family Medicine Medicare: Medicare Enrolled Practice Location: 7148 U S Highway 98 Ste 101, Hattiesburg, MS 39402 Phone: 601-261-1500 Fax: 601-579-5240 | |
Helen Rachael Gandy Hudson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 |