George Gillespie Iii, DO | |
50 Parkway Ln, Petal, MS 39465-3035 | |
(601) 544-7404 | |
(601) 584-6457 |
Full Name | George Gillespie Iii |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 20 Years |
Location | 50 Parkway Ln, Petal, 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 |
---|---|---|---|
1124117171 | NPI | - | NPPES |
05020034 | Medicaid | MS | |
0029455 | Other | MS | CIGNA |
9864055 | Other | MS | AETNA |
6039505 | Other | MS | HEALTHSPRING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 19284 (Mississippi) | Secondary |
207Q00000X | Family Medicine | 19284 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health-home Health | Vicksburg, MS | Home health agency |
Magee General Hospital | Magee, MS | Hospital |
Covington County Hospital Cah | Collins, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Magee Benevolent Association | 3678466463 | 8 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
Entity Name | Magee Benevolent Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215965249 PECOS PAC ID: 4183517253 Enrollment ID: O20080912000358 |
Mailing Address | Practice Location Address |
---|---|
George Gillespie Iii, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463 | George Gillespie Iii, DO 50 Parkway Ln, Petal, MS 39465-3035 Ph: (601) 544-7404 |
Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457 | |
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 | |
Patricia Lurline Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Donald V Conerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |