| Dr Elizabeth M Felder, MD | |
|
102 Medical Park, Hattiesburg, MS 39401-8025 | |
| (601) 261-5159 | |
| (601) 545-1740 |
| Full Name | Dr Elizabeth M Felder |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 102 Medical Park, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134174097 | NPI | - | NPPES |
| 2889465 | Other | MS | UNITED HEALTH CARE |
| 4674478 | Other | MS | AETNA |
| 00114923 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 13567 (Mississippi) | Primary |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth M Felder, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-5159 | Dr Elizabeth M Felder, MD 102 Medical Park, Hattiesburg, MS 39401-8025 Ph: (601) 261-5159 |
Megan Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4210 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-261-3500 Fax: 601-579-5240 | |
Lowry C Stanford Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050 | |
Joshua Ryan Allen, Pediatrics Medicare: Medicare Enrolled Practice Location: 39 Franklin Rd Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3060 | |
Damea B Benton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Medical Park, Hattiesburg, MS 39401 Phone: 601-579-3000 Fax: 601-579-5240 | |
Jeffrey C Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2899 West 4th Street, Hattiesburg, MS 39406 Phone: 601-266-5390 Fax: 601-266-4205 | |
Dr. John Wells Gaudet, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3013 |