Dr Steven Douglas Nowicki, MD | |
1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 | |
(601) 649-5990 | |
(601) 425-7510 |
Full Name | Dr Steven Douglas Nowicki |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 1002 Jefferson Street, Laurel, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306815907 | NPI | - | NPPES |
00119197 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 15584 (Mississippi) | Primary |
Entity Name | South Central Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Dr Steven Douglas Nowicki, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Dr Steven Douglas Nowicki, MD 1002 Jefferson Street, Suite 350, Laurel, MS 39440-4306 Ph: (601) 649-5990 |
Dr. Richard O'keeffe Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Phone: 601-649-5990 | |
Dr. Edward Randolph Turnbull, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 | |
Thomas B Baylis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson St, Suite 350, Laurel, MS 39440 Phone: 601-649-5990 | |
Dr. Cleveland Eric Johnson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 | |
Dr. Thomas Harold Blake Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281 | |
Dr. William A Morrison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 |