| Shantwania Areonesia Buchanan, MD | |
|
616 Alcorn Dr, Corinth, MS 38834-9393 | |
| (662) 286-0206 | |
| (662) 665-0068 |
| Full Name | Shantwania Areonesia Buchanan |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 616 Alcorn Dr, Corinth, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417971029 | NPI | - | NPPES |
| 04958871 | Medicaid | MS | |
| 800678362 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | C00141026 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 19033 (Mississippi) | Primary |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Obstetrics Gynecology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750352894 PECOS PAC ID: 3072500073 Enrollment ID: O20040430000135 |
| Entity Name | Obhg Mississippi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Shantwania Areonesia Buchanan, MD 616 Alcorn Dr, Corinth, MS 38834-9393 Ph: (662) 286-0206 | Shantwania Areonesia Buchanan, MD 616 Alcorn Dr, Corinth, MS 38834-9393 Ph: (662) 286-0206 |
Patrick S. Hsu, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 703 Alcorn Dr Ste 110, Corinth, MS 38834 Phone: 166-241-5317 Fax: 662-287-5792 |