Gagandeep S Grewal (NPI# 1114214038, PAC ID# 4688892029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114214038 |
| PAC ID by PECOS | 4688892029 |
| Professional Enrollment ID | I20140827001778 |
| Full Name | Gagandeep S Grewal |
| Organization Legal Name | WESLEY PHYSICIAN SERVICES LLC |
| Address |
101 Asbury Cir Hattiesburg MS 39402-1302 |
| Phone Number | 6012685200 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466559851 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250094 | MERIT HEALTH WESLEY |
| 251325 | COVINGTON COUNTY HOSPITAL CAH |
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 6012685200 | WESLEY PHYSICIAN SERVICES LLC |
| 103 Asbury Cir, Hattiesburg, MS 39402-1302 | 6012685200 | WESLEY PHYSICIAN SERVICES LLC |
| 5001 Hardy St, Hattiesburg, MS 39402-1308 | 6012688155 | WESLEY PHYSICIAN SERVICES LLC |
| Organization Legal Name | WESLEY PHYSICIAN SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Eric Henry | Thoracic Surgery | Wesley Physician Services LLC | 5001 Hardy St, Hattiesburg, MS 39402-1308 |
| Joshua Peter Hand | Family Medicine | Wesley Physician Services LLC | 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 |
| John Charles Clemmons | Psychologist, Clinical | Wesley Physician Services LLC | 239 Methodist Blvd, Hattiesburg, MS 39402-1297 |
| Larry B Aycock | Internal Medicine | Wesley Physician Services LLC | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 |
| Kurt F Bruckmeier | Internal Medicine | Wesley Physician Services LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Nabih Al-sheikh | Nephrology | Wesley Physician Services LLC | 5001 Hardy St, Hattiesburg, MS 39402-1308 |
| Daniel J Skarzynski | Cardiovascular Disease (cardiology) | Wesley Physician Services LLC | 5001 Hardy St, Hattiesburg, MS 39402-1308 |
| Destiney Lee | Nurse Practitioner | Wesley Physician Services LLC | 5001 Hardy St, Hattiesburg, MS 39402-1308 |
| Gardner Fletcher | Pulmonary Disease | Wesley Physician Services LLC | 5001 Hardy St, Hattiesburg, MS 39402-1308 |
| Sivarama K Kotikalapudi | Internal Medicine | Wesley Physician Services LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Street Address |
101 ASBURY CIR |
| City | HATTIESBURG |
| State | MS |
| Zip | 39402-1302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt F Bruckmeier | Internal Medicine | Wesley Physician Services LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Sivarama K Kotikalapudi | Internal Medicine | Wesley Physician Services LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Stephen Gardner Fletcher | Internal Medicine | Wesley Physician Services LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Vani Naraharisetty | Physician Assistant | Southern Star Medical Group LLC | 101 Asbury Cir, Hattiesburg, MS 39402-1302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Cochran | Physical Therapy | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 | |
| Paul E Zeagler | Physical Therapy | Hattieburg Physical Therapy Center | 98 Place Blvd, Suite 52, Hattiesburg, MS 39402 |
| Jennifer Stewart | Physical Therapy | Drayer Physical Therapy Institute LLC | 6134 Hwy 98 W, Hattiesburg, MS 39402 |
| Paul M Rocconi | Diagnostic Radiology | Comprehensive Radiology Services, Pllc | 5000 W 4th St, Hattiesburg, MS 39402-1000 |
| Volney E Pierce Jr. | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Delia A Smith | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Barbara J Proctor | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Brenda Jordan | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Lynda I Gentchev | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Donald H Gale | Pathology | Hub Care Pathology, P.a. | 5052 W 4th St, Hattiesburg, MS 39402-1069 |
| Find all physicians in zip 39402 | |||
| City | HATTIESBURG |
| Zip Code | 39402 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HATTIESBURG + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gagandeep S Grewal.
| 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.