Jesse Ezzell, MD | |
1203 Jefferson St, Laurel, MS 39440-4354 | |
(601) 649-2863 | |
(601) 649-9479 |
Full Name | Jesse Ezzell |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 40 Years |
Location | 1203 Jefferson St, Laurel, 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 |
---|---|---|---|
1912911843 | NPI | - | NPPES |
00122006 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 12035 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Central Reg Med Ctr | Laurel, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Central Clinics, Inc | 4385876655 | 100 |
Entity Name | South Central Clinics, Inc |
---|---|
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 |
---|---|
Jesse Ezzell, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863 | Jesse Ezzell, MD 1203 Jefferson St, Laurel, MS 39440-4354 Ph: (601) 649-2863 |
Bassam K Mechleb, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 | |
John M. Wallace, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Dr. Hamit Kumar, M.B.B.S Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-2863 | |
Carolyn Cegielski, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Willus Mark Horne, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
Joel Thomas Shores, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 | |
David L Harrison, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 Fax: 601-649-9479 |