Dr Lawrence A Leake, MD | |
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
(228) 809-5000 | |
Not Available |
Full Name | Dr Lawrence A Leake |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2809 Denny Ave, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124179767 | NPI | - | NPPES |
009926475 | Medicaid | AL | |
646000515 | Other | TRICARE | |
00112590 | Medicaid | MS | |
646000515 | Other | BLUE CROSS OF MS | |
930026898 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MS13594 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 13594 (Mississippi) | Primary |
Entity Name | Singing River Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
Mailing Address | Practice Location Address |
---|---|
Dr Lawrence A Leake, MD 2101 Highway 90, Gautier, MS 39553-5340 Ph: () - | Dr Lawrence A Leake, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 809-5000 |
Dr. Kevin Scott Cooper, MD,MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4305 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-2044 Fax: 228-762-2064 | |
Matthew Bosarge, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Gary H. Groff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Martin Bydalek, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 | |
Dr. Teresa A Williamson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Vernon W Doster, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3616 Hospital Street, Suite D, Pascagoula, MS 39581 Phone: 228-762-8187 Fax: 228-762-6934 | |
Dr. Christopher Erik Bowen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |