| Mr Glenn Mason, NP | |
|
670 Leigh Dr, Columbus, MS 39705-3014 | |
| (662) 328-1012 | |
| (662) 328-1507 |
| Full Name | Mr Glenn Mason |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 670 Leigh Dr, Columbus, 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 |
|---|---|---|---|
| 1184074643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R888556 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
| Winston Medical Center & Swingbed | Louisville, MS | Hospital |
| Choctaw Regional Medical Center | Ackerman, MS | Hospital |
| Och Regional Medical Center | Starkville, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Columbus Orthopaedic Clinic, P.a. | 5890751945 | 37 |
| Entity Name | The Columbus Orthopaedic Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740287374 PECOS PAC ID: 5890751945 Enrollment ID: O20110331000380 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glenn Mason, NP 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 | Mr Glenn Mason, NP 670 Leigh Dr, Columbus, MS 39705-3014 Ph: (662) 328-1012 |
Mrs. Celia Lasky Kidder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2110 5th St N, Columbus, MS 39705 Phone: 662-243-2435 Fax: 662-328-7037 | |
Dr. Janice Davidson, PHD FNP-BC FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 7th St S, Columbus, MS 39701 Phone: 662-328-6293 | |
Misti Garnett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873 | |
Tiffany Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3600 Bluecutt Rd Ste 101, Columbus, MS 39705 Phone: 662-570-4770 | |
John S Dornan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705 Phone: 662-240-0650 Fax: 662-240-0483 | |
Christopher Pennington, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702 Phone: 662-329-2955 | |
Mrs. Janet Myers, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-3287 |