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 |
Location | 415 S 28th Ave, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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: Accepting Medicare Assignments Practice Location: 6156 Highway 98, Suite 70, Hattiesburg, MS 39402 Phone: 601-336-7155 Fax: 601-336-7782 | |
Zachary Bruce Kulzer, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7148 Highway 98 West, Suite 102, Hattiesburg, MS 39402 Phone: 601-261-1550 Fax: 601-579-5240 |