| Allison Henderson, PA | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 268-5800 | |
| (601) 261-3530 |
| Full Name | Allison Henderson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 415 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 |
|---|---|---|---|
| 1215395306 | NPI | - | NPPES |
| 01224251 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Hospital | Hattiesburg, MS | Hospital |
| Highland Community Hospital | Picayune, MS | Hospital |
| South Central Reg Med Ctr | Laurel, MS | Hospital |
| Walthall County General Hospital Cah | Tylertown, MS | Hospital |
| Wayne General Hospital | Waynesboro, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 525 |
| 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 |
| Entity Name | Fgh Physician Billing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
| Mailing Address | Practice Location Address |
|---|---|
| Allison Henderson, PA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5800 | Allison Henderson, PA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5800 |
Stacey Joyner, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Comanche Dr, Hattiesburg, MS 39402 Phone: 601-604-2858 |
Riley Phillips, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 |
Clifton H Davis, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 |
Emilie Mckenzie Stansell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 |
Mr. Jimmie G Moore Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 |
Micah Childs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 Phone: 601-554-7400 |
Marshall Bynum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 |