Dr Jason L Black, MD | |
3109 Bienville Blvd, Department Of Emergency Medicine, Ocean Springs, MS 39564-4361 | |
(228) 818-1111 | |
Not Available |
Full Name | Dr Jason L Black |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3109 Bienville Blvd, Ocean Springs, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508029083 | NPI | - | NPPES |
20838 | Other | MS | PERMANENT LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | T-2070 (Mississippi) | Primary |
Entity Name | Emergency Room Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093112039 PECOS PAC ID: 6608190798 Enrollment ID: O20150120002157 |
Entity Name | Singing River Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861010159 PECOS PAC ID: 5294154829 Enrollment ID: O20201001001497 |
Mailing Address | Practice Location Address |
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Dr Jason L Black, MD 3109 Bienville Blvd, Department Of Emergency Medicine, Ocean Springs, MS 39564-4361 Ph: (228) 818-1111 | Dr Jason L Black, MD 3109 Bienville Blvd, Department Of Emergency Medicine, Ocean Springs, MS 39564-4361 Ph: (228) 818-1111 |
Dr. Michael Renicks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111 | |
Dr. Benjamin Hudson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111 | |
Dr. Mark Mauldin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111 | |
Dr. Thomas William Lenoir Ii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 302-757-1599 | |
Dr. Gregory Patino, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-1111 | |
Gregory F Bredemeier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 803 Canebreak Dr, Ocean Springs, MS 39564 Phone: 228-818-5998 |