Military Health Care Provider Health Providers - MISSISSIPPI
171000000X - Military Health Care Provider
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
List of 34 registered providers with a business address in Mississippi whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 1 are registered as organizations and 33 as individuals.
97% Individual Providers (33)3% Medical Organizations (1)32% Female Providers (11)65% Male Providers (22)
List of Providers
| Provider Name | Type | Address | Medicare | PECOS | |
|---|---|---|---|---|---|
| MELVIN M ANDERSON | Individual | 507 MARKET ST PORT GIBSON, MS 39150 (601) 618-3728 | Non-Participating Provider | NO | |
| JAMES WILLIAMS BAILEY | Individual | 664 S STATE ST JACKSON, MS 39201 (601) 355-3835 | Non-Participating Provider | NO | |
| DANIEL BARKER | Individual | 301 FISHER ST RM 5A127 KEESLER AFB BILOXI, MS 39534 (402) 676-5204 | Accepts Medicare | YES | |
| TREVOR BICKFORD | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 376-2273 | Non-Participating Provider | YES | |
| GREGORY BUFORD | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 591-3800 | Non-Participating Provider | NO | |
| JESSE TODD CHASTEEN | Individual | 301 FISHER ST BILOXI, MS 39534 (828) 406-5876 | Non-Participating Provider | YES | |
| JAMES WESLEY CLEMENTS | Individual | 664 S STATE ST JACKSON, MS 39201 (601) 355-3835 | Non-Participating Provider | NO | |
| MICHAEL E COGHLAN | Individual | COLUMBUS AFB 14TH MEDICAL GROUP 201 INDEPENDENCE DRIVE COLUMBUS, MS 39710 (662) 434-2273 | Non-Participating Provider | YES | |
| KIMBERLY M COOK | Individual | 2500 N STATE ST JACKSON, MS 39216 (601) 815-1312 | Non-Participating Provider | YES | |
| ROBERT RAY ELLIS | Individual | 4016 CASSIMER AVE DIBERVILLE, MS 39540 (228) 326-1115 | Accepts Medicare | NO | |
| MASON CHRISTOPHER HUNT | Individual | 301 FISHER STREET KEESLER MEDICAL CENTER DEPARTMENT OF GENERAL SURGERY KEESLER AFB, BILOXI, MS 39534 (228) 376-0425 | Non-Participating Provider | YES | |
| VIRGIL SINATRA JEFFERSON | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 377-6495 | Non-Participating Provider | YES | |
| FRED EUGENE KASPER | Individual | 5501 MARVIN SHIELDS BLVD GULFPORT, MS 39501 (228) 822-5748 | Non-Participating Provider | NO | |
| BRIAN ANTHONY KATEN | Individual | 301 FISHER ST KEESLER AFB, MS 39534 (228) 376-0446 | Non-Participating Provider | NO | |
| JUSTIN KING | Individual | 201 INDEPENDENCE COLUMBUS, MS 39710 (662) 434-2273 | Non-Participating Provider | NO | |
| NIGEL RAMESH KISSOON | Individual | 301 FISHER ST KEESLER AFB, MS 39534 (228) 376-3539 | Non-Participating Provider | NO | |
| ADAM LEWIS | Individual | 6051 U S HIGHWAY 49 HATTIESBURG, MS 39401 (601) 288-2690 | Non-Participating Provider | YES | |
| LILLY PAD HOME HEALTH, LLC LILLY PAD HOME HEALTH, LLC | Organization | 1507 HARDY ST STE 201 HATTIESBURG, MS 39401 (601) 410-5836 | Non-Participating Provider | NO | |
| CASSANDRA E. LUCKETT | Individual | 5525 CONCORD DR NE JACKSON, MS 39211 (205) 373-9710 | Non-Participating Provider | NO | |
| MATTHEW MAIA | Individual | 1000 ACCESS RD # 4 PASCAGOULA, MS 39567 (228) 935-3252 | Non-Participating Provider | NO | |
| SHEILA KAY MITCHELL | Individual | 301 FISHER ST KEESLER AFB, MS 39534 (228) 376-3788 | Non-Participating Provider | YES | |
| MATTHEW RAYMOND MONACO | Individual | 5502 MARVIN SHIELDS BLVD GULFPORT, MS 39501 (678) 770-0584 | Non-Participating Provider | YES | |
| BRITTANIE NEAVES | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 376-3552 | Non-Participating Provider | YES | |
| SHANNA B PETTIE | Individual | 106 LAKE VISTA PL BRANDON, MS 39047 (601) 919-2924 | Non-Participating Provider | YES | |
| BRANDON WADE SAKSA | Individual | 14115 FRED AND AL KEY RD KILN, MS 39556 (228) 466-1035 | Non-Participating Provider | NO | |
| RAYCHEL SIMPSON | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 376-2273 | Accepts Medicare | YES | |
| GRACE ELIZABETH SMITH | Individual | 301 FISHER ST BILOXI, MS 39534 (228) 376-2273 | Non-Participating Provider | YES | |
| THOMAS PATRICK SMITH | Individual | 301 FISHER STREET KEESLER AFB, MS 39534 (228) 377-4666 | Accepts Medicare | YES | |
| DANIEL BRUCE SMITH | Individual | 22224 LORENE ROAD GULFPORT, MS 39503 (228) 377-6431 | Non-Participating Provider | NO | |
| ANGELA VICTORIA THRAHSER | Individual | 111 G ST ARNOLD ANNEX, BLDG 5901 BILOXI, MS 39534 (228) 377-0801 | Non-Participating Provider | NO | |
| LEA MARIE TRUSH | Individual | 301 FISHER ST KEESLER AFB, MS 39534 (228) 376-2664 | Non-Participating Provider | YES | |
| BRENNAN FOSTER VAUGHN | Individual | 4204 CLAY ST VICKSBURG, MS 39183 (601) 619-7717 | Accepts Medicare | YES |
Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.
Individual Female Provider | Individual Male Provider | Medical Organization
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