| Samantha Nicole Glenn Etheredge, | |
|
3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 | |
| (228) 872-1951 | |
| (228) 875-9998 |
| Full Name | Samantha Nicole Glenn Etheredge |
|---|---|
| Gender | Female |
| Speciality | Rheumatology |
| Experience | 5 Years |
| Location | 3101 Denny Ave Ste 240, Pascagoula, 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 |
|---|---|---|---|
| 1386221844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 35673 (Mississippi) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 3818 (Alabama) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Singing River Health System | Pascagoula, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singing River Health System | 3870405194 | 284 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Nicole Glenn Etheredge, 2101 Highway 90, Gautier, MS 39553-5340 Ph: (228) 497-7576 | Samantha Nicole Glenn Etheredge, 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 Ph: (228) 872-1951 |
Dr. Kevin Scott Cooper, MD,MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4305 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-2044 Fax: 228-762-2064 | |
Dr. Gary H. Groff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Martin Bydalek, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2819 Denny Ave, Pascagoula, MS 39581 Phone: 228-762-3466 | |
Dr. Teresa A Williamson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2819 Denny Ave., Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Dr. Vernon W Doster, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3616 Hospital Street, Suite D, Pascagoula, MS 39581 Phone: 228-762-8187 Fax: 228-762-6934 | |
Dr. Christopher Erik Bowen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 |