| Mr Kevin Ho, NURSE PRACTITIONER | |
|
103 S 19th Ave, Hattiesburg, MS 39401-6171 | |
| (601) 264-2111 | |
| Not Available |
| Full Name | Mr Kevin Ho |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 103 S 19th Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811587116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 904037 (Mississippi) | Primary |
| Entity Name | Region 12 Commission On Mental Health & Retardation Pine Belt Men |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Ho, NURSE PRACTITIONER 106 Harbor Rd, Madison, MS 39110-8103 Ph: (662) 588-4646 | Mr Kevin Ho, NURSE PRACTITIONER 103 S 19th Ave, Hattiesburg, MS 39401-6171 Ph: (601) 264-2111 |
Dr. Raymond L Struck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S 19th Ave, Hattiesburg, MS 39401 Phone: 601-544-4641 Fax: 601-582-1607 | |
Joshua A Maksi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851 | |
Bertha J Blanchard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 Asbury Cir, Suite A, Hattiesburg, MS 39402 Phone: 601-268-5222 Fax: 601-296-3508 | |
Roopsi Bassi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058 | |
Dr. Thomas Alfonso Miller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 Phone: 601-288-8050 | |
Jose P Fernandez Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 Phone: 601-268-5620 Fax: 601-268-5851 | |
Geoffrey B Hartwig, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851 |