| Jeremy A Bennett, DPT | |
|
7127 Highway 98 West, Suite 40, Hattiesburg, MS 39402 | |
| (601) 261-1550 | |
| (601) 268-2530 |
| Full Name | Jeremy A Bennett |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7127 Highway 98 West, 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 |
|---|---|---|---|
| 1811297120 | NPI | - | NPPES |
| P01206663 | Other | MS | RAILROAD MEDICARE |
| 0463784 | Other | MS | CIGNA |
| 9007864 | Other | MS | AETNA |
| 00237896 | Medicaid | MS | |
| 3451245 | Other | MS | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT4051 (Mississippi) | Primary |
| Provider Name | Hattiesburg Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy A Bennett, DPT 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-1550 | Jeremy A Bennett, DPT 7127 Highway 98 West, Suite 40, Hattiesburg, MS 39402 Ph: (601) 261-1550 |
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 | |
Nathan Samuel Reynolds, PT, 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 |