| Dr Jenisus Marie Owens, DO | |
|
1101 S 28th Ave Ste C, Hattiesburg, MS 39402-2610 | |
| (601) 261-1670 | |
| (601) 579-8381 |
| Full Name | Dr Jenisus Marie Owens |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1101 S 28th Ave Ste C, 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 |
|---|---|---|---|
| 1316390289 | NPI | - | NPPES |
| 08902261 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25163 (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 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenisus Marie Owens, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463 | Dr Jenisus Marie Owens, DO 1101 S 28th Ave Ste C, Hattiesburg, MS 39402-2610 Ph: (601) 261-1670 |
Katherine O'neal Royals, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 | |
Nabih Alsheikh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7100 U S Highway 98 Ste 240, Hattiesburg, MS 39402 Phone: 601-450-8822 Fax: 601-450-8821 | |
Glenn A Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4209 Lincoln Road, Hattiesburg, MS 39402 Phone: 601-579-5400 Fax: 601-261-3521 | |
Dr. Cierra Celeste Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 66 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-7500 Fax: 601-544-7524 | |
Dr. Wayne A Hughes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-261-5710 Fax: 601-268-5058 | |
John Lloyd Martin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7148 U S Highway 98 Ste 101, Hattiesburg, MS 39402 Phone: 601-261-1500 Fax: 601-579-5240 | |
Helen Rachael Gandy Hudson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Orleans Dr, Hattiesburg, MS 39402 Phone: 601-579-5050 Fax: 601-579-5240 |