| Brandie Bennett, PT,DPT | |
|
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
| (601) 268-5757 | |
| (601) 579-5220 |
| Full Name | Brandie Bennett |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 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 |
|---|---|---|---|
| 1427474832 | NPI | - | NPPES |
| P01334696 | Other | MS | RAILROAD MEDICARE |
| 00536563 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4651 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehab Agency Ms Llc | 2769841782 | 54 |
| Provider Name | Fox Rehab Agency Ms Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandie Bennett, PT,DPT 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5757 | Brandie Bennett, PT,DPT 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5757 |
Southern Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Willow Bend Dr, Hattiesburg, MS 39402 Phone: 601-336-8287 | |
Nicholas Walker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377 | |
Jeremy Jayrell Scott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-264-8828 Fax: 601-607-1377 | |
Mr. Douglas Earl Peterman, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 16 Office Park Dr, Suite 21, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782 | |
James R Burns, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Medical Park Fl 1, Hattiesburg, MS 39401 Phone: 601-268-5757 Fax: 601-579-5220 | |
Katherine Anne Martin, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6156 Highway 98, Suite 70, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782 | |
Nathan Samuel Reynolds, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Medical Park Fl 1, Hattiesburg, MS 39401 Phone: 601-268-5757 Fax: 601-579-5220 |