| Dr Peter Nathanael Mittwede, MD, PHD | |
|
401 Baptist Dr Ste 301, Madison, MS 39110-2012 | |
| (601) 973-1571 | |
| (601) 973-1577 |
| Full Name | Dr Peter Nathanael Mittwede |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 9 Years |
| Location | 401 Baptist Dr Ste 301, Madison, 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 |
|---|---|---|---|
| 1881045748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD469401 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Foundation Of Central Mississippi Inc | 1153216411 | 246 |
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Nathanael Mittwede, MD, PHD 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (877) 348-1281 | Dr Peter Nathanael Mittwede, MD, PHD 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: (601) 973-1571 |
Dr. James Adam Smitherman, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 | |
Lloyd Franklin Mercer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 303 Grayling Blvd, Madison, MS 39110 Phone: 601-853-2351 | |
Dr. Nathan Dale Johnson, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr Ste 301, Madison, MS 39110 Phone: 601-973-1571 Fax: 601-973-1577 |