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

Hattiesburg Clinic Pa is a medicare enrolled "Physical Therapist" provider in Purvis, Mississippi. Their current practice location is 98 Shelby Speights Dr, Purvis, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 794-2402.

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 1063509370.

Contact Information

	Hattiesburg Clinic Pa
	98 Shelby Speights Dr, Purvis, MS 39475-4528
	(601) 794-2402
	(601) 794-2404

Map and Direction

Healthcare Provider's Profile

Full Name	Hattiesburg Clinic Pa
Type	Facility
Speciality	Physical Therapist
Location	98 Shelby Speights Dr, Purvis, Mississippi
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063509370
Provider Enumeration Date: 10/06/2006
Last Update Date: 10/07/2020

Medicare PECOS Information:

PECOS PAC ID: 5193706794
Enrollment ID: O20100930099253

Medical Identifiers

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

Identifier	Type	State	Issuer
1063509370	NPI	-	NPPES
09656801	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 98 Shelby Speights Dr, Purvis, MS 39475-4528 Ph: (601) 794-2402

Reviews and Comments

Physical Therapist in Purvis, MS

Marlene Elizabeth Colburn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 98 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-2402 Fax: 601-794-2404
Joyce Ann Smith, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Shelby Speights Dr # 3, Purvis, MS 39475 Phone: 601-212-3100 Fax: 601-519-4251
Amanda A Cox, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 98 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-2402

Hattiesburg Clinic Pa - Medicare Physical Therapist in Purvis, MS