Stephen L Conerly, MD | |
104 Asbury Cir, Hattiesburg, MS 39402-1302 | |
(601) 268-5252 | |
(601) 268-5190 |
Full Name | Stephen L Conerly |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 45 Years |
Location | 104 Asbury Cir, 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 |
---|---|---|---|
1174530448 | NPI | - | NPPES |
00115155 | Medicaid | MS | |
1385751 | Medicaid | LA | |
1559128 | Other | MS | AMIERICAN ADMIN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 08717 (Mississippi) | Primary |
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 |
---|---|
Stephen L Conerly, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5252 | Stephen L Conerly, MD 104 Asbury Cir, Hattiesburg, MS 39402-1302 Ph: (601) 268-5252 |
William Lowe Waller Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Thompson Park, Hattiesburg, MS 39401 Phone: 601-579-3130 Fax: 601-264-5092 | |
Steven C Shapiro, MD Dermatology Medicare: Medicare Enrolled Practice Location: 323 Woodshire Dr, Hattiesburg, MS 39402 Phone: 601-434-3938 | |
Mark A Gallardo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190 | |
Dr. Rebecca Duff, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 40 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-296-3405 Fax: 601-296-3409 | |
Lauren Ackerman, PA Dermatology Medicare: Not Enrolled in Medicare Practice Location: 102 E Hospital Dr, Hattiesburg, MS 39402 Phone: 601-475-9968 | |
Maureen Offiah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-579-5240 |