Dr Walter Kastler Grant Iii, MD | |
920 Tommy Munro Dr, Biloxi, MS 39532-2150 | |
(228) 396-8101 | |
(601) 496-8101 |
Full Name | Dr Walter Kastler Grant Iii |
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Gender | Male |
Speciality | Pediatrics |
Location | 920 Tommy Munro Dr, Biloxi, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710092077 | NPI | - | NPPES |
00116939 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29157 (Alabama) | Secondary |
208000000X | Pediatrics | 14991 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
---|---|
Dr Walter Kastler Grant Iii, MD 2500 North State Street, Jmm Suite 2525, Jackson, MS 39216-4500 Ph: (601) 815-9528 | Dr Walter Kastler Grant Iii, MD 920 Tommy Munro Dr, Biloxi, MS 39532-2150 Ph: (228) 396-8101 |
Dr. Mitchell J Gruich, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2356 Pass Rd, Suite 300, Biloxi, MS 39531 Phone: 228-385-1711 Fax: 228-385-3333 | |
Musunkumuki Kadochi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1721 Medical Park Dr Ste 101, Biloxi, MS 39532 Phone: 601-815-2005 | |
Jennifer Leticia Grayson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 147 Reynoir St Ste 202, Biloxi, MS 39530 Phone: 228-594-8000 Fax: 228-594-8002 | |
Ann Elizabeth Farash, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Room 1a132, Biloxi, MS 39534 Phone: 228-377-8185 | |
Kathryn Laura Sigurnjak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Tommy Munro Dr, Suite A, Biloxi, MS 39532 Phone: 228-388-3993 Fax: 228-385-9941 | |
Gertrude Barnes Brundage, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1046 Division St, Biloxi, MS 39530 Phone: 228-374-2494 | |
Joanna Dupont, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2561 Pass Rd, Biloxi, MS 39531 Phone: 228-400-0098 Fax: 833-915-0148 |