Dr Leslie B Gray, MD | |
1800 12th St, Meridian, MS 39301-4158 | |
(601) 484-6700 | |
Not Available |
Full Name | Dr Leslie B Gray |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 1800 12th St, Meridian, 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 |
---|---|---|---|
1295727766 | NPI | - | NPPES |
009809700 | Other | AL | MEDICAID OF AL |
020038463 | Other | RAILROAD MEDICARE | |
00119529 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 15657 (Mississippi) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 15657 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rush Foundation Hospital | Meridian, MS | Hospital |
Anderson Regional Medical Ctr | Meridian, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Inc | 9234043712 | 124 |
Entity Name | Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Mailing Address | Practice Location Address |
---|---|
Dr Leslie B Gray, MD Po Box 5183, Meridian, MS 39302-5183 Ph: () - | Dr Leslie B Gray, MD 1800 12th St, Meridian, MS 39301-4158 Ph: (601) 484-6700 |
Stephen W Tartt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 14th St, Meridian, MS 39301 Phone: 601-693-3834 Fax: 601-484-3225 | |
Sarah Tabb, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 | |
Dr. David A. Makey, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9233 | |
William A Billups Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 14th St, Meridian, MS 39301 Phone: 601-693-3834 Fax: 601-484-3225 | |
Hans Hunt Tulip, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2111 14th St, Meridian, MS 39301 Phone: 601-693-3834 Fax: 601-693-6275 | |
Johnathan Lee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, 3rd Floor, Meridian, MS 39301 Phone: 601-703-9970 |