Istvan David Wollak, MD | |
401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | |
(662) 349-0488 | |
(662) 349-5974 |
Full Name | Istvan David Wollak |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 26 Years |
Location | 401 Southcrest Cir, Southaven, 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 |
---|---|---|---|
1619919305 | NPI | - | NPPES |
19168 | Other | MS | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 19168 (Mississippi) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 19168 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital Union County | New albany, MS | Hospital |
Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memphis Lung Physicians Foundation, Inc. | 4981876307 | 45 |
Baptist Memorial Hospital-desoto, Inc. | 5597758755 | 5 |
Memphis Lung Physicians Foundation, Inc. | 4981876307 | 45 |
Entity Name | Baptist Memorial Hospital-desoto, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194789818 PECOS PAC ID: 5597758755 Enrollment ID: O20040405001337 |
Entity Name | Baptist Memorial Hospital Union County, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780648352 PECOS PAC ID: 4183601305 Enrollment ID: O20040706000553 |
Entity Name | Memphis Lung Physicians Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811279656 PECOS PAC ID: 4981876307 Enrollment ID: O20111018000548 |
Mailing Address | Practice Location Address |
---|---|
Istvan David Wollak, MD 2120 Exeter Rd, Ste 250, Germantown, TN 38138-3931 Ph: (901) 767-5864 | Istvan David Wollak, MD 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 Ph: (662) 349-0488 |
Shan Shah, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Sohail A Minhas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 100, Southaven, MS 38671 Phone: 662-349-2442 Fax: 662-349-8551 | |
Mr. Mahfuzur Rahman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 728 Goodman Rd E, Ste 2, Southaven, MS 38671 Phone: 662-349-1750 Fax: 662-349-2350 | |
Dr. Jimmy Darrell Sneed, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir Ste 200, Southaven, MS 38671 Phone: 901-271-1000 Fax: 901-271-4187 | |
Dr. Lily Herbert, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 7680 Airways Blvd, Southaven, MS 38671 Phone: 662-349-1999 Fax: 662-349-9734 | |
Dr. Michael Henry Vaughan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 | |
Nfn Sumedha, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-772-2980 Fax: 662-772-2960 |