Pavel L Khimenko, MD | |
4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | |
(228) 202-3335 | |
(228) 202-3337 |
Full Name | Pavel L Khimenko |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 4211 Hospital St, Pascagoula, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548241904 | NPI | - | NPPES |
00120919 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 18035 (Mississippi) | Primary |
Entity Name | Singing River Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
Mailing Address | Practice Location Address |
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Pavel L Khimenko, MD 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 Ph: (228) 202-3335 | Pavel L Khimenko, MD 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 Ph: (228) 202-3335 |
Dr. Randy Roth, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
James Lee Harwell, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Ediz Tasan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4300 Hospital St Ste 102, Pascagoula, MS 39581 Phone: 228-762-1002 | |
Dr. Edgar Hull, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
Olusola Isikalu, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-762-0712 | |
Hugo A Quintana, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4211 Hospital St Ste 202, Pascagoula, MS 39581 Phone: 228-372-8270 Fax: 228-372-8270 | |
Thomas E. Stevens Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |