Phillip Lance Barnes, D.O.
Individual provider Active NPI Family Medicine Physician · Biloxi, MS
NPI 1558396010 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1558396010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 09295 (MS)
- Practice address
- 201 Lameuse St
Biloxi, MS 39530-3107 - Phone
- (228) 374-7888
- Fax
- (228) 435-1545
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 62
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Lameuse St
Biloxi, MS 39530-3107
Phone (228) 374-7888
Hospital & facility affiliations
- Deaconess Homecare- Region I
- Memorial Hospital Biloxi
- Memorial Hospital at Gulfport
- Merit Health River Region
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 |
|---|---|---|---|---|
| I20080714000053 | MS | Practitioner - Family Practice | 2860564549 | Practice locations: Biloxi, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biloxi Hma LLC | Past | Accepting new patients | |
| Biloxi Urgent Care Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09295 | MS | Yes |
Addresses
Primary practice location
201 Lameuse St
Biloxi, MS 39530-3107
Mailing address
PO Box 425
Biloxi, MS 39533-0425
Phone (228) 374-7888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00019091 | Medicaid | MS |
Other providers in Biloxi, MS
- Donald Barger
- Haley Michelle Barial
- Daniel Barker
- Leslie Anne Barker
- Sara Barlow
- Rolando S Barnes
- Jessica Barrett
- Juan C Barrios
- Savannah R Barron
- Brent Theodore Barry
All providers in Biloxi, MS · Family 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 Nov 17, 2009. 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.