Dr Kathleen Anne Mansour, MD | |
1513 E Union St, Greenville, MS 38703-3249 | |
(662) 378-9191 | |
(662) 378-5353 |
Full Name | Dr Kathleen Anne Mansour |
---|---|
Gender | Female |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1513 E Union St, Greenville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427094432 | NPI | - | NPPES |
0119870 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 16061 (Mississippi) | Primary |
Entity Name | Mobile Infirmary Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740021476 PECOS PAC ID: 3476456625 Enrollment ID: O20240812003518 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Anne Mansour, MD 1640 Cypress Rdg, Greenville, MS 38701-6936 Ph: (662) 335-1412 | Dr Kathleen Anne Mansour, MD 1513 E Union St, Greenville, MS 38703-3249 Ph: (662) 378-9191 |
Nouhad O Kronfol, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1997 Medical Park Dr, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Deepali Ramdas Kale, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-378-1311 Fax: 662-335-2001 | |
John L Herzog Sr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1421 E Union St, Greenville, MS 38703 Phone: 662-335-0183 Fax: 662-335-7184 | |
J Barry Gillespie, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-378-0280 | |
Dr. Wilson M Parry, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Ravi V Patel, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 | |
Dr. Jerry Milton Cunningham, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 521 Fairview, Greenville, MS 38701 Phone: 662-334-9182 Fax: 662-335-5320 |