| Petra R Schneider-redden, MD | |
|
421 S 28th Ave, Hattiesburg, MS 39401-7236 | |
| (601) 261-3690 | |
| (601) 261-3684 |
| Full Name | Petra R Schneider-redden |
|---|---|
| Gender | Female |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 47 Years |
| Location | 421 S 28th Ave, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063521607 | NPI | - | NPPES |
| 1559059 | Other | MS | AMERICAN ADMIN GROUP |
| 00119713 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 16047 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
| 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 |
|---|---|
| Petra R Schneider-redden, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3690 | Petra R Schneider-redden, MD 421 S 28th Ave, Hattiesburg, MS 39401-7236 Ph: (601) 261-3690 |
Dr. William Duncan Donald Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6051 Us Hwy 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Ralph E Abraham, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5660 Fax: 601-268-5759 | |
Colton Lott, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5010 Fax: 601-579-3067 | |
Dr. Cesar R Romero, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Dr. Kirk J Banquer, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 Fax: 601-288-2695 | |
Rachel Kaitlin Rosado, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5660 |