John L Herzog Sr, MD | |
1421 E Union St, Greenville, MS 38703-3247 | |
(662) 335-0183 | |
(662) 335-7184 |
Full Name | John L Herzog Sr |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 43 Years |
Location | 1421 E Union St, Greenville, 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 |
---|---|---|---|
1093734949 | NPI | - | NPPES |
060000624 | Other | MS | MEDICARE |
00123017 | Medicaid | MS | |
126236001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 09800 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health Central | Jackson, MS | Hospital |
Chicot Memorial Medical Center | Lake village, AR | Hospital |
Greenwood Leflore Hospital | Greenwood, MS | Hospital |
North Sunflower Medical Center Cah | Ruleville, MS | Hospital |
South Sunflower County Hospital | Indianola, MS | Hospital |
Ms Care Center Of Greenville | Greenville, MS | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta Heart And Vascular Center, P.a. | 1355390063 | 3 |
Entity Name | Delta Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790701134 PECOS PAC ID: 6608775531 Enrollment ID: O20040108000636 |
Entity Name | Delta Heart & Vascular Center, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174506281 PECOS PAC ID: 1355390063 Enrollment ID: O20050120000416 |
Entity Name | Delta Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609464619 PECOS PAC ID: 5597171645 Enrollment ID: O20210315002779 |
Entity Name | Advanced Medical Imaging Of Greenwood Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982283008 PECOS PAC ID: 8921408295 Enrollment ID: O20210609000728 |
Mailing Address | Practice Location Address |
---|---|
John L Herzog Sr, MD Po Box 5368, Greenville, MS 38704-5368 Ph: (662) 394-0107 | John L Herzog Sr, MD 1421 E Union St, Greenville, MS 38703-3247 Ph: (662) 335-0183 |
Nouhad O Kronfol, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1997 Medical Park Dr, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Deepali Ramdas Kale, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 344 Arnold Ave, Greenville, MS 38701 Phone: 662-378-1311 Fax: 662-335-2001 | |
J Barry Gillespie, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-332-9872 Fax: 662-378-0280 | |
Dr. Wilson M Parry, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 Fax: 662-378-2879 | |
Ravi V Patel, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1502 S Colorado St, Greenville, MS 38703 Phone: 662-335-4105 | |
Dr. Jerry Milton Cunningham, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 521 Fairview, Greenville, MS 38701 Phone: 662-334-9182 Fax: 662-335-5320 |