| Cecelia Annita Brown, PT | |
|
7900 Airways Blvd, Bldg A, Ste 2, Southaven, MS 38671-4113 | |
| (662) 536-4096 | |
| (662) 536-4099 |
| Full Name | Cecelia Annita Brown |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 20 Years |
| Location | 7900 Airways Blvd, Southaven, 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 |
|---|---|---|---|
| 1356478606 | NPI | - | NPPES |
| 0183838 | Other | TN | BLUE CROSS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4256 (Mississippi) | Primary |
| 225100000X | Physical Therapist | PT7658 (Tennessee) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 996 |
| Aegis Group Practice Llc | 5193036432 | 404 |
| Aegis Group Practice Llc | 5193036432 | 404 |
| Healthpro Heritage Rehab And Fitness Llc | 6507832573 | 996 |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881271302 PECOS PAC ID: 5193036432 Enrollment ID: O20160126001261 |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942793534 PECOS PAC ID: 6507832573 Enrollment ID: O20191230000288 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecelia Annita Brown, PT 7900 Airways Blvd, Bldg A, Ste 2, Southaven, MS 38671-4113 Ph: (662) 536-4096 | Cecelia Annita Brown, PT 7900 Airways Blvd, Bldg A, Ste 2, Southaven, MS 38671-4113 Ph: (662) 536-4096 |
Robert Heath Wylie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Parker P Haberstroh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Church Rd W Ste 112, Southaven, MS 38671 Phone: 662-548-3650 Fax: 662-654-8029 | |
Mrs. Deborah Jill Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5271 Getwell Rd, Southaven, MS 38672 Phone: 662-510-5694 | |
Mrs. Tara Elaine Burt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 Phone: 662-536-4096 Fax: 662-536-4099 | |
Ms. Jerrica Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3208 | |
Lacey Moody, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E, Suite 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 | |
Zachary Kyle Tate, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman Rd E Ste 111, Southaven, MS 38672 Phone: 662-890-6953 Fax: 662-890-6954 |