June Mbae, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Meridian, MS
NPI 1922531136 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1922531136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 31138 (MS)
- Practice address
- 1800 12TH St
Meridian, MS 39301-4158 - Phone
- (601) 703-9285
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation Inc
Practice addresses (Care Compare)
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
Hospital & facility affiliations
- Ochsner Rush Hospital
- Anderson Regional Medical Center
- Ochsner Choctaw General
- Ochsner Stennis Memorial Hospital
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 |
|---|---|---|---|---|
| I20230824003306 | MS | Practitioner - Pulmonary Disease | 7315210317 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31138 | MS | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients |
Locations
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Interoperability endpoints
- jmbae1865836@direct.ochsner.org
- jmbae69356@uihealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 31138 | MS | |
| Pulmonary Disease Physician | 207RP1001X | 31138 | MS | Yes |
Addresses
Primary practice location
1800 12TH St
Meridian, MS 39301-4158
Mailing address
1800 12TH St
Meridian, MS 39301-4158
Other providers in Meridian, MS
- Jerry B. May
- Stephanie Mayer
- Samantha Mayerhoff
- Misty D. Mayfield
- Ophelia Mayfield
- McArthur Chiropractic, LLC
- Russel Earl McArthur
- Cady Pace McBride
- McCarty Childrens Dentistry PLLC
- Gloria M McCarty
All providers in Meridian, MS · Pulmonary Disease 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 Jul 28, 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.