| Physicians Care Plaza, Llc | |
|
9344 Three Rivers Rd Gulfport MS 39503-4268 | |
| (228) 865-9898 | |
| (228) 863-5616 |
| Full Name | Physicians Care Plaza, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9344 Three Rivers Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Billie J Housel (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2288659898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Care Plaza, Llc 9344 Three Rivers Rd Gulfport MS 39503-4268 Ph: (228) 865-9898 | Physicians Care Plaza, Llc 9344 Three Rivers Rd Gulfport MS 39503-4268 Ph: (228) 865-9898 |
| NPI Number | 1316137300 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 12/19/2011 |
| Medicare PECOS PAC ID | 2163459603 |
|---|---|
| Medicare Enrollment ID | O20050726000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316137300 | NPI | - | NPPES |
| 302G701491 | Other | MS | MEDICARE |
| 06238271 | Medicaid | MS |
| Provider Name | Robert K Ozon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861483075 PECOS PAC ID: 6002702594 Enrollment ID: I20040304000488 |
| Provider Name | Gregory F Bredemeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700848207 PECOS PAC ID: 0749193167 Enrollment ID: I20040726000561 |
| Provider Name | Debra Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811079544 PECOS PAC ID: 4486616497 Enrollment ID: I20041102000450 |
| Provider Name | Gregory K Picou |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073693040 PECOS PAC ID: 4789611229 Enrollment ID: I20050729000398 |
| Provider Name | Joel B Burwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427012657 PECOS PAC ID: 7113950403 Enrollment ID: I20050921000246 |
| Provider Name | Kaizad P Tamboli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881753986 PECOS PAC ID: 2062502412 Enrollment ID: I20080311000507 |
| Provider Name | Phillip L Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558396010 PECOS PAC ID: 2860564549 Enrollment ID: I20080714000053 |
| Provider Name | Edwina I Roland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194017509 PECOS PAC ID: 7810174661 Enrollment ID: I20110606000216 |
| Provider Name | Catherine M Brashear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760756423 PECOS PAC ID: 9436315157 Enrollment ID: I20120725000420 |
| Provider Name | John R Walli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508138843 PECOS PAC ID: 0749438711 Enrollment ID: I20120917000388 |
| Provider Name | Stacie Michele Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528480035 PECOS PAC ID: 0446473375 Enrollment ID: I20140610000820 |
| Provider Name | Amanda N Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619214541 PECOS PAC ID: 0547584666 Enrollment ID: I20150121000603 |
| Provider Name | Mary Speyrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659350700 PECOS PAC ID: 9032257852 Enrollment ID: I20170302002335 |
| Provider Name | Cynthia Hasiuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184729717 PECOS PAC ID: 9335398072 Enrollment ID: I20180201001001 |
Centerwell Senior Primary Care-gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12057 Highway 49 Ste C, Gulfport, MS 39503 Phone: 228-832-9385 Fax: 877-504-6444 | |
My Brother's Keeper, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Bridge St, Gulfport, MS 39507 Phone: 769-216-2455 | |
The Healing Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 26, Gulfport, MS 39501 Phone: 228-380-0662 | |
Children's International, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15465 Oak Ln, Gulfport, MS 39503 Phone: 228-831-8800 Fax: 228-831-8020 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-374-0856 | |
Gulf Coast Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
Physicians Clinic At Mhg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12261 Highway 49, Suite 11 F, Gulfport, MS 39503 Phone: 228-867-5185 Fax: 228-867-5186 |