Robert Walley, | |
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
(601) 268-5650 | |
(601) 579-5240 |
Full Name | Robert Walley |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 9 Years |
Location | 415 S 28th Ave, Hattiesburg, 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 |
---|---|---|---|
1588047567 | NPI | - | NPPES |
1J2146 | Other | TX | MEDICARE |
417472401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | S8672 (Texas) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 30801 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Hospital | Hattiesburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Robert Walley, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5650 | Robert Walley, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5650 |
Laurie Evans Douglas, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-1700 Fax: 601-288-8290 | |
Dr. Charles Ramsey Mccollum Iii, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5650 Fax: 601-579-5212 | |
Porter Hudson Glover, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5680 Fax: 601-268-5778 | |
Alex Gauthier, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Grettel Rodriguez Garcia, Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 31 Woodstone Dr, Hattiesburg, MS 39402 Phone: 347-342-2441 | |
Ms. Manal Mohammad Abdur Rahman, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-296-2990 Fax: 601-296-2860 | |
Dr. Vashishtha Patel, DO Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 704-733-7499 |