| Bert Chevis M D Llc | |
|
849 Highway 90 Bay St Louis MS 39520-1600 | |
| (228) 467-8422 | |
| Not Available |
| Full Name | Bert Chevis M D Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 849 Highway 90, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Bertin C Chevis (PRESIDENT) |
| Authorized Official Contact | 2284678422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bert Chevis M D Llc 849 Highway 90 Bay St Louis MS 39520-1600 Ph: (228) 467-8422 | Bert Chevis M D Llc 849 Highway 90 Bay St Louis MS 39520-1600 Ph: (228) 467-8422 |
| NPI Number | 1780853242 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 02/29/2008 |
| Medicare PECOS PAC ID | 5890879621 |
|---|---|
| Medicare Enrollment ID | O20080303000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780853242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bertin C Chevis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649228529 PECOS PAC ID: 5193743334 Enrollment ID: I20051107000678 |
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