| Andrea J Warren, DO | |
|
345 Highway 15 N, Pontotoc, MS 38863-1105 | |
| (662) 489-7460 | |
| (662) 489-7938 |
| Full Name | Andrea J Warren |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 345 Highway 15 N, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992758775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19237 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Mississippi Medical Ctr Hha | Tupelo, MS | Home health agency |
| Pontotoc Health Service Inc Cah | Pontotoc, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Pontotoc Health & Rehab Center | Pontotoc, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pontotoc Health Services, Inc. | 6002895356 | 10 |
| Entity Name | Pontotoc Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea J Warren, DO 345 Highway 15 N, Pontotoc, MS 38863-1105 Ph: (662) 489-7460 | Andrea J Warren, DO 345 Highway 15 N, Pontotoc, MS 38863-1105 Ph: (662) 489-7460 |
Steven Nicholas Dirmeyer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938 | |
Timothy Frank Thompson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 | |
Dr. Jennifer Dawn Lowery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 | |
Mrs. Flavia H West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004 | |
Stephen Montgomery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938 | |
Christopher Lane Park, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11 E Jefferson St, Pontotoc, MS 38863 Phone: 662-499-2802 Fax: 866-939-1560 | |
Randel Gibson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989 |