Thurman N Polchow, MD | |
2809 Denny Ave, Pascagoula, MS 39581-5301 | |
(228) 762-1353 | |
(228) 762-1359 |
Full Name | Thurman N Polchow |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2809 Denny Ave, 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 |
---|---|---|---|
1427082106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 11032 (Montana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 14361 (Mississippi) | Primary |
Entity Name | Gulf Coast Imaging |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205850773 PECOS PAC ID: 3678558723 Enrollment ID: O20040622001235 |
Mailing Address | Practice Location Address |
---|---|
Thurman N Polchow, MD 1365 Market St, Pascagoula, MS 39567-6604 Ph: (228) 762-1353 | Thurman N Polchow, MD 2809 Denny Ave, Pascagoula, MS 39581-5301 Ph: (228) 762-1353 |
Dr. Roland Joseph Mestayer Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
Dr. W. Sam Dennis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5000 | |
John H Bechtel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5251 Fax: 228-809-5255 | |
Jim Patrick Gray, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
Dr. Paul Harold Moore Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 | |
John A Banahan Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-1353 Fax: 228-762-1359 |