Lamberto Gutierrez Cosue III, M.D.
Individual provider Active NPI Internal Medicine Physician · Ruleville, MS
NPI 1215087515 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1215087515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 14620 (MS)
- Practice address
- 840 N Oak Ave
Ruleville, MS 38771-3227 - Phone
- (662) 756-4024
- Fax
- (662) 756-4114
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Sunflower Medical Center
Practice addresses (Care Compare)
202 S Ruby Ave
Ruleville, MS 38771-3227
Phone (662) 756-2500
840 N Oak Ave
Ruleville, MS 38771-3227
Phone (601) 756-2711
Hospital & facility affiliations
- North Sunflower Medical Center Cah
- North Sunflower Medical Center Cah
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101217000254 | MS | Practitioner - Internal Medicine |
6103014139 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14620 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Sunflower Medical Center | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current | Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients | |
| North Sunflower Medical Center | Current |
Accepting new patients |
Locations
840 N Oak Ave
Ruleville, MS 38771
Phone (601) 756-2711
202 S Ruby Ave
Ruleville, MS 38771
Phone (662) 756-2500
Interoperability endpoints
- lambertocosue@nsfmc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14620 | MS | Yes |
Addresses
Primary practice location
840 N Oak Ave
Ruleville, MS 38771-3227
Mailing address
PO Box 369
Ruleville, MS 38771-0369
Phone (662) 756-4024
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000116018 | Medicaid | MS |
Other providers in Ruleville, MS
- Jennifer Bolden
- Nikita Marie Calvin
- Sydni Carman
- Kalifa Cartwright
- Tajda Cooper
- Robert F Cox
- April M Davis
- Delta Health Center, Inc
- Natalie Roberts Dozier
- Elizabeth L Evans
All providers in Ruleville, MS · Internal Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.