Larry C Couvillon Iii, MD | |
4500 13th St, Gulfport, MS 39501-2515 | |
(228) 865-3151 | |
(228) 867-4124 |
Full Name | Larry C Couvillon Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4500 13th St, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417039546 | NPI | - | NPPES |
00120639 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 16325 (Mississippi) | Primary |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Larry C Couvillon Iii, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 | Larry C Couvillon Iii, MD 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 |
William H. Grover, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Mr. Charlton Paige Dennison, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11446 Ashton Ln E, Gulfport, MS 39503 Phone: 205-344-2044 | |
David Sawyer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Dr. Debra Ann Hebert, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7120 Fax: 228-575-7103 | |
Zackary Fordham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39502 Phone: 601-672-3173 | |
Dr. Martha Ann Dempsey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Beach Dr, Gulfport, MS 39507 Phone: 228-897-4450 Fax: 228-897-4450 | |
Dr. Drew Weber, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |