Dr Henry Theodore Leis, MD | |
1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | |
(228) 392-9355 | |
(228) 392-1781 |
Full Name | Dr Henry Theodore Leis |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 31 Years |
Location | 1720a Medical Park Dr, Biloxi, 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 |
---|---|---|---|
1417946013 | NPI | - | NPPES |
512I200015 | Other | MS | MEDICARE PTAN |
06608789 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 19613 (Mississippi) | Primary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | 19613 (Mississippi) | Secondary |
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 |
---|---|---|
Bienville Orthopaedic Specialists, Llc | 0547155178 | 46 |
Entity Name | Bienville Orthopaedic Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834 |
Entity Name | Oal Care Of Al, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720540693 PECOS PAC ID: 1254668031 Enrollment ID: O20210422000100 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry Theodore Leis, MD 6300 E Lake Blvd, Ste. 301, Vancleave, MS 39565-6770 Ph: (228) 230-2663 | Dr Henry Theodore Leis, MD 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 Ph: (228) 392-9355 |
Dr. Jonathan Dwaine Brown, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr Ste 220, Biloxi, MS 39532 Phone: 228-230-2663 Fax: 228-546-3257 | |
James Anderson Dollahite, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Biloxi, MS 39534 Phone: 228-376-0429 | |
Jeffrey Dean Noblin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532 Phone: 228-392-9355 Fax: 228-392-1781 | |
Judith W Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2781 C T Switzer Sr Dr, Suite 402, Biloxi, MS 39531 Phone: 228-388-0949 Fax: 228-385-1595 | |
Dr. Reginald Eugene Bass, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 Fax: 228-523-4378 | |
Dudley S Burwell Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2781 Ct Switzer Senior Drive, Suite 402, Biloxi, MS 39531 Phone: 228-388-0949 Fax: 228-385-1595 |