Amy Duthu Eagan, | |
146 Highland Pkwy Ste A, Picayune, MS 39466-5576 | |
(601) 358-9832 | |
(601) 358-9929 |
Full Name | Amy Duthu Eagan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 146 Highland Pkwy Ste A, Picayune, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326365313 | NPI | - | NPPES |
2106457 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 25662 (Mississippi) | Primary |
Entity Name | Highland Community Hospital Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275887499 PECOS PAC ID: 5193970523 Enrollment ID: O20130308000320 |
Mailing Address | Practice Location Address |
---|---|
Amy Duthu Eagan, 146 Highland Pkwy Ste A, Picayune, MS 39466-5576 Ph: (601) 358-9832 | Amy Duthu Eagan, 146 Highland Pkwy Ste A, Picayune, MS 39466-5576 Ph: (601) 358-9832 |
Dr. Ashraf Tabatabaii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 421 River Rd, Picayune, MS 39466 Phone: 601-798-0511 | |
Courtney A Clark, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-347-9024 Fax: 601-798-5914 | |
Dr. April Michelle Ross, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-3989 Fax: 601-798-3964 |