Mr Walter Edward Gipson Iv, MD | |
1702 Hwy 11 N, Ste A, Picayune, MS 39466 | |
(601) 799-3130 | |
(601) 799-3132 |
Full Name | Mr Walter Edward Gipson Iv |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1702 Hwy 11 N, Picayune, 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 |
---|---|---|---|
1023121555 | NPI | - | NPPES |
640880384 | Other | MS | BLUE CROSS |
00112115 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13890 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
Forrest General Home Care | Hattiesburg, MS | Home health agency |
Camellia Home Health And Hospice | Hattiesburg, MS | Hospice |
Highland Community Hospital | Picayune, MS | Hospital |
Slidell Memorial Hospital | Slidell, LA | Hospital |
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Forrest General Hospital | Hattiesburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forrest County General Hospital | 1052397767 | 82 |
Entity Name | Forrest County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | Pearl River County Hospital & Nursing Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003026717 PECOS PAC ID: 5496704363 Enrollment ID: O20050118000715 |
Mailing Address | Practice Location Address |
---|---|
Mr Walter Edward Gipson Iv, MD 1702 A Hwy 11 North, Picayune, MS 39466 Ph: (601) 799-3130 | Mr Walter Edward Gipson Iv, MD 1702 Hwy 11 N, Ste A, Picayune, MS 39466 Ph: (601) 799-3130 |
Terrance A Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 Highland Parkway, Suite 200, Picayune, MS 39466 Phone: 601-358-9630 Fax: 601-358-9640 | |
Cadence Tara Griffing, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-215-2383 Fax: 601-215-2384 | |
Dewitt L Bolton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Sixth Ave, Picayune, MS 39466 Phone: 601-798-7529 Fax: 601-798-7553 | |
Wayne E Grayson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 906 Sixth Ave, Picayune, MS 39466 Phone: 601-798-7529 Fax: 601-798-7553 | |
Kimberly J Carver, Family Medicine Medicare: Medicare Enrolled Practice Location: 146 Highland Pkwy Ste C, Picayune, MS 39466 Phone: 601-358-9765 | |
James M Riser, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-5798 |