Dr Alton Henry Dauterive, MD, FACS - Medicare Vascular Surgery in Gulfport, MS

Dr Alton Henry Dauterive, MD, FACS is a medicare enrolled "Surgery - Vascular Surgery" physician in Gulfport, Mississippi. He went to Tulane University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Memorial Hospital At Gulfport and his current practice location is 1340 Broad Ave, Suite 220, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 864-0092.

Dr Alton Henry Dauterive is licensed to practice in Mississippi (license number 10998) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558491589.

Contact Information

Dr Alton Henry Dauterive, MD, FACS
1340 Broad Ave, Suite 220,
Gulfport, MS 39501-2404
(228) 864-0092
(228) 867-6423



Physician's Profile

Full NameDr Alton Henry Dauterive
GenderMale
SpecialityVascular Surgery
Experience44 Years
Location1340 Broad Ave, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Alton Henry Dauterive attended and graduated from Tulane University School Of Medicine in 1980
  NPI Data:
  • NPI Number: 1558491589
  • Provider Enumeration Date: 03/07/2007
  • Last Update Date: 07/10/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7315843794
  • Enrollment ID: I20040102000607

Medical Identifiers

Medical identifiers for Dr Alton Henry Dauterive such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558491589NPI-NPPES
00117914MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 10998 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital At Gulfport2466524012376

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Alton Henry Dauterive allows following entities to bill medicare on his behalf.
Entity NameMemorial Hospital At Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215546635
PECOS PAC ID: 2466524012
Enrollment ID: O20090515000396

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alton Henry Dauterive is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Alton Henry Dauterive, MD, FACS
Po Box 1810,
Gulfport, MS 39502-1810

Ph: (228) 864-0092
Dr Alton Henry Dauterive, MD, FACS
1340 Broad Ave, Suite 220,
Gulfport, MS 39501-2404

Ph: (228) 864-0092

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Surgery Doctors in Gulfport, MS

Michael E Moses, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 15190 Community Rd, Suite250, Gulfport, MS 39503
Phone: 228-539-8100    
David Jason Bailey, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1312 44th Ave, Gulfport, MS 39501
Phone: 228-539-5858    
Joseph A Graham, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Avenue, Suite 220, Gulfport, MS 39501
Phone: 228-575-1300    Fax: 228-867-6423
Amy Lynn Scheller, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Gulfport, MS 39503
Phone: 228-539-0489    
Larry H Killebrew, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-865-3151    Fax: 228-867-4124
Donald Allan Balder, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 11070 David St, Gulfport, MS 39503
Phone: 228-265-5945    Fax: 228-284-1580
Kristine Marie Carter, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1340 Broad Ave, Suite 240, Gulfport, MS 39501
Phone: 228-575-1200    Fax: 228-575-1205

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