Lacey Sullivan, MD | |
2809 Denny Ave, Pascagoula, MS 39581 | |
(228) 818-6063 | |
(228) 809-2254 |
Full Name | Lacey Sullivan |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 15 Years |
Location | 2809 Denny Ave, Pascagoula, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962707745 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD.35922 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Singing River Health System | Pascagoula, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Associates Of Mobile, P.a. | 3870497951 | 53 |
Singing River Pathology Pllc | 3476859703 | 5 |
Urology Associates Of Mobile, P.a. | 3870497951 | 53 |
Entity Name | Urology Associates Of Mobile, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194828368 PECOS PAC ID: 3870497951 Enrollment ID: O20031120000743 |
Mailing Address | Practice Location Address |
---|---|
Lacey Sullivan, MD 5052 W 4th St Ste 7, Hattiesburg, MS 39402-1069 Ph: (601) 261-2587 | Lacey Sullivan, MD 2809 Denny Ave, Pascagoula, MS 39581 Ph: (228) 818-6063 |
Dr. James Megehee, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Gordon Gaethe, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Karin Levesque, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Victor Calcote, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Dr. Sidney Eudy, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 |