| Hwy 63 Medical And Chiropractic Center, P.a. | |
|
19621 Hwy 63, Moss Point, MS 39562 | |
| (228) 588-0188 | |
| (228) 588-9184 |
| Full Name | Hwy 63 Medical And Chiropractic Center, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 19621 Hwy 63, Moss Point, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134370828 | NPI | - | NPPES |
| 00123522 | Medicaid | MS | |
| 587618900C | Other | MS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 987 (Mississippi) | Primary |
| Provider Name | Vance R Warden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801928700 PECOS PAC ID: 3173681004 Enrollment ID: I20081022000340 |
| Provider Name | Norman Mel Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961054 PECOS PAC ID: 7810133055 Enrollment ID: I20130415000121 |
| Provider Name | Bernard Keenum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760654925 PECOS PAC ID: 0648348862 Enrollment ID: I20140611001168 |
| Provider Name | Vance R Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801928700 PECOS PAC ID: 3173681004 Enrollment ID: I20240104002581 |
| Mailing Address | Practice Location Address |
|---|---|
| Hwy 63 Medical And Chiropractic Center, P.a. Po Box 901, Hurley, MS 39555-0901 Ph: (228) 588-0188 | Hwy 63 Medical And Chiropractic Center, P.a. 19621 Hwy 63, Moss Point, MS 39562 Ph: (228) 588-0188 |
Jackson County Chiropractic Clinic Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8820 Highway 613, Moss Point, MS 39562 Phone: 228-475-0676 | |
Bosarge Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7302d Highway 613, Moss Point, MS 39563 Phone: 228-475-6437 Fax: 228-474-1325 | |
Dr. Don M Hembree, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8820 Hwy. 613, Moss Point, MS 39562 Phone: 228-475-0676 Fax: 228-475-0678 | |
Dr. Kenneth L. Bosarge, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7302d Highway 613, Moss Point, MS 39563 Phone: 228-475-6437 Fax: 228-474-1325 |