Hattiesburg Clinic Pa in Petal, MS - Medicare Physical Therapist Provider

Hattiesburg Clinic Pa is a medicare enrolled "Physical Therapist" provider in Petal, Mississippi. Their current practice location is 206 Corinth Rd, Petal, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 583-9464.

Hattiesburg Clinic Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Hattiesburg Clinic Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1962599282.

Contact Information

	Hattiesburg Clinic Pa
	206 Corinth Rd, Petal, MS 39465-2883
	(601) 583-9464
	(601) 583-9465

Map and Direction

Healthcare Provider's Profile

Full Name	Hattiesburg Clinic Pa
Type	Facility
Speciality	Physical Therapist
Location	206 Corinth Rd, Petal, Mississippi
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962599282
Provider Enumeration Date: 10/06/2006
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5193706794
Enrollment ID: O20100930057391

Medical Identifiers

Medical identifiers for Hattiesburg Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962599282	NPI	-	NPPES
02181291	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hattiesburg Clinic Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Hattiesburg Clinic Pa 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5463	Hattiesburg Clinic Pa 206 Corinth Rd, Petal, MS 39465-2883 Ph: (601) 583-9464

Reviews and Comments

Physical Therapist in Petal, MS

Kalyn M Preiss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925 Fax: 601-909-2952
Drayer Physcial Therapy Mississippi Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42, Suite 260, Petal, MS 39465 Phone: 601-909-2925 Fax: 601-909-2952
Erin Thoms, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925
Zachary Bruce Kulzer, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 206 Old Corinth Rd, Petal, MS 39465 Phone: 601-583-9464 Fax: 601-579-5240
Mrs. Amye B Lovitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr, Petal, MS 39465 Phone: 601-544-0500 Fax: 601-544-0505
Nathanael Webb, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1229 Highway 42 Ste 260, Petal, MS 39465 Phone: 601-909-2925
Aaron Rylander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1044 Highway 42, Petal, MS 39465 Phone: 601-544-0500 Fax: 601-544-0505

Hattiesburg Clinic Pa - Medicare Physical Therapist in Petal, MS