Roger Anastasio (NPI# 1760563548, PAC ID# 1850393190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1760563548 |
| PAC ID by PECOS | 1850393190 |
| Professional Enrollment ID | I20070215000343 |
| Full Name | Roger Anastasio |
| Organization Legal Name | REGION 12 COMMISSION ON MENTAL HEALTH AND RETARDATION PINE BELT MEN |
| Address |
103 S 19th Ave Hattiesburg MS 39401-6171 |
| Phone Number | 6014254916 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3971561747 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250085 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 6014254916 | REGION 12 COMMISSION ON MENTAL HEALTH AND RETARDATION PINE BELT MEN |
| Organization Legal Name | REGION 12 COMMISSION ON MENTAL HEALTH AND RETARDATION PINE BELT MEN |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Shelley Mckenzie | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Richard W George | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Rance S Ratcliff Jr. | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Madelyn M Parker | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Melanie Pendergrast | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Richard B Ray Jr. | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Connie Regan | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Street Address |
103 S 19TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-6171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Shelley Mckenzie | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Richard W George | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Rance S Ratcliff Jr. | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Madelyn M Parker | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Melanie Pendergrast | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Richard B Ray Jr. | Nurse Practitioner | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Connie Regan | Clinical Social Worker | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | PSYCHIATRY |
| City + Specialty | HATTIESBURG + PSYCHIATRY |
Please comment or provide details below to improve the information on Roger Anastasio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.