Dr Clifton Thames Leatherbury, MD | |
14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | |
(228) 864-4392 | |
(228) 868-7103 |
Full Name | Dr Clifton Thames Leatherbury |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 14231 Seaway Rd Ste 5003, 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 |
---|---|---|---|
1548460629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20133 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Singing River Health System | Pascagoula, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Smb Radiology Pa | 9234136060 | 20 |
Entity Name | Smb Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609877356 PECOS PAC ID: 9234136060 Enrollment ID: O20061108000496 |
Mailing Address | Practice Location Address |
---|---|
Dr Clifton Thames Leatherbury, MD Po Box 1330, Gulfport, MS 39502-1330 Ph: (228) 864-4392 | Dr Clifton Thames Leatherbury, MD 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 Ph: (228) 864-4392 |
Dr. Eric D. Lawson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Raun Joseph Wetzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Raymond E. Tipton Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Jason Bradley Crowder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14245 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-314-7226 Fax: 228-314-7227 | |
Dr. Frank Alan Lovell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14231 Seaway Rd Ste 5003, Gulfport, MS 39503 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Barbara N Massony, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4320 15th St, Suite A, Gulfport, MS 39501 Phone: 228-864-4392 Fax: 228-868-7103 | |
Dr. Judith L. Corey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4320 15th St, Suite A, Gulfport, MS 39501 Phone: 228-864-4392 Fax: 228-868-7103 |