Dr Kevin Bryan Clement, MD | |
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
(601) 268-5630 | |
(601) 268-5819 |
Full Name | Dr Kevin Bryan Clement |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 415 S 28th Ave, 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 |
---|---|---|---|
1578509725 | NPI | - | NPPES |
00123076 | Medicaid | MS | |
5750556 | Other | MS | AETNA |
1353817 | Other | MS | CIGNA |
009935563 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 00022961 (Alabama) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 16905 (Mississippi) | Primary |
Entity Name | Keystone Medical Services Of Ms Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
Mailing Address | Practice Location Address |
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Dr Kevin Bryan Clement, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5630 | Dr Kevin Bryan Clement, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5630 |
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. Cierra Celeste Green, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
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 |