| Fred J Mcdonnell, MD | |
|
213 Caldwell Drive, Hazlehurst, MS 39083 | |
| (601) 894-4661 | |
| (601) 894-2514 |
| Full Name | Fred J Mcdonnell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 51 Years |
| Location | 213 Caldwell Drive, Hazlehurst, 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 |
|---|---|---|---|
| 1891897260 | NPI | - | NPPES |
| 0015329 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7034 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Kindred At Home | Hazlehurst, MS | Home health agency |
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| Copiah County Medical Center | Hazlehurst, MS | Hospital |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Pine Crest Guest Home Inc | Hazlehurst, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Copiah County Medical Center | 2062583487 | 15 |
| Entity Name | Copiah Medical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972603819 PECOS PAC ID: 3577569862 Enrollment ID: O20080714000378 |
| Entity Name | Copiah County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588667281 PECOS PAC ID: 2062583487 Enrollment ID: O20130211000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Fred J Mcdonnell, MD 213 Caldwell Drive, Hazlehurst, MS 39083 Ph: (601) 894-4661 | Fred J Mcdonnell, MD 213 Caldwell Drive, Hazlehurst, MS 39083 Ph: (601) 894-4661 |
Dr. Randy Hankins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4661 Fax: 601-894-2514 | |
Dr. Preston Mcdonnell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4661 Fax: 601-894-2514 |