Stephen L Harless, MD | |
101 Weems St, Purvis, MS 39475-4062 | |
(601) 794-2224 | |
(601) 794-6392 |
Full Name | Stephen L Harless |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 101 Weems St, Purvis, 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 |
---|---|---|---|
1336151976 | NPI | - | NPPES |
1739782 | Medicaid | LA | |
640507572MA | Other | MS | AMERICAN ADMIN GROUP |
00117512 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 10694 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Home Care | Hattiesburg, MS | Home health agency |
Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
Forrest General Hospital | Hattiesburg, MS | Hospital |
Lamar Healthcare & Rehabilitation Center | Lumberton, MS | Nursing home |
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 Harless, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-2224 | Stephen L Harless, MD 101 Weems St, Purvis, MS 39475-4062 Ph: (601) 794-2224 |
Christopher Ryan Rawls, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240 | |
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5640 | |
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432 | |
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Mr. Bruce Grissom Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 |