| David Scott Therrien, MD | |
|
100 Hospital St, Booneville, MS 38829-3354 | |
| (662) 720-5490 | |
| Not Available |
| Full Name | David Scott Therrien |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 100 Hospital St, Booneville, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730313974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 40989 (Alabama) | Secondary |
| 208600000X | Surgery | 22484 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Booneville | Booneville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Memorial Medical Group, Inc. | 5193610228 | 468 |
| Entity Name | Oxford Surgical And Bariatric Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649436395 PECOS PAC ID: 5092872853 Enrollment ID: O20090323000024 |
| Entity Name | Baptist Memorial Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
| Mailing Address | Practice Location Address |
|---|---|
| David Scott Therrien, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: (901) 226-3186 | David Scott Therrien, MD 100 Hospital St, Booneville, MS 38829-3354 Ph: (662) 720-5490 |
Jose L Madara Jr., Surgery Medicare: Not Enrolled in Medicare Practice Location: 102 Hotel St, Booneville, MS 38829 Phone: 662-728-7711 Fax: 661-728-7713 | |
Joseph H. Feller, MD Surgery Medicare: Medicare Enrolled Practice Location: 100 Hospital Street, Ste. 100a, Booneville, MS 38829 Phone: 662-720-3035 Fax: 662-720-3066 | |
John Demetro Zelem, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital St, Suite 100a, Booneville, MS 38829 Phone: 662-720-5131 Fax: 662-720-5135 |