| Dr Benjamin Daniel Pettigrew, DO | |
|
703 Alcorn Dr Ste 109, Corinth, MS 38834-9302 | |
| (662) 286-2522 | |
| Not Available |
| Full Name | Dr Benjamin Daniel Pettigrew |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 10 Years |
| Location | 703 Alcorn Dr Ste 109, Corinth, Mississippi |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255787966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 30300 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magnolia Regional Health Center | Corinth, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magnolia Surgical Group | 6204825755 | 2 |
| Entity Name | Magnolia Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699756445 PECOS PAC ID: 9739078460 Enrollment ID: O20040311001091 |
| Entity Name | Magnolia Surgical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134142284 PECOS PAC ID: 6204825755 Enrollment ID: O20040510000811 |
| Entity Name | Ut Methodist Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427317908 PECOS PAC ID: 2769623669 Enrollment ID: O20140425001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Daniel Pettigrew, DO 703 Alcorn Dr Ste 109, Corinth, MS 38834-9302 Ph: (662) 286-2522 | Dr Benjamin Daniel Pettigrew, DO 703 Alcorn Dr Ste 109, Corinth, MS 38834-9302 Ph: (662) 286-2522 |
Mathew Bowen Johnson Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 Alcorn Dr, Suite 102, Corinth, MS 38834 Phone: 662-286-2522 Fax: 662-293-4288 | |
Dr. Sun Ae Kim, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr., Corinth, MS 38834 Phone: 662-293-1000 | |
Dr. James D. Edmonson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2429 Proper St, Corinth, MS 38834 Phone: 662-286-3735 Fax: 662-286-3721 | |
Andy Wade Holley, D.O. Surgery Medicare: May Accept Medicare Assignments Practice Location: 703 Alcorn Dr Ste 102, Corinth, MS 38834 Phone: 662-286-2522 |