| Rowe S Crowder Iii Md Pllc | |
|
202b Drinkwater Rd Bay St Louis MS 39520-1638 | |
| (228) 463-1649 | |
| (228) 463-0138 |
| Full Name | Rowe S Crowder Iii Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202b Drinkwater Rd, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Rowe Sanders Crowder (MEMBER) |
| Authorized Official Contact | 2284631649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowe S Crowder Iii Md Pllc 202b Drinkwater Rd Bay St Louis MS 39520-1638 Ph: (228) 463-1649 | Rowe S Crowder Iii Md Pllc 202b Drinkwater Rd Bay St Louis MS 39520-1638 Ph: (228) 463-1649 |
| NPI Number | 1114267382 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 05/06/2015 |
| Medicare PECOS PAC ID | 6406095454 |
|---|---|
| Medicare Enrollment ID | O20130624000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114267382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 14176 (Mississippi) | Primary |
| Provider Name | Rowe S Crowder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053369801 PECOS PAC ID: 3870696420 Enrollment ID: I20070320000199 |
| Provider Name | Lisa Y Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841642733 PECOS PAC ID: 0840586376 Enrollment ID: I20160909001819 |
| Provider Name | Katherine Guichet Speaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962854885 PECOS PAC ID: 1951682129 Enrollment ID: I20161229001919 |
| Provider Name | Katherine Levens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053051227 PECOS PAC ID: 4183010366 Enrollment ID: I20220418000018 |
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