Spencer K Boothe, PT | |
119 Highway 80 E, Clinton, MS 39056-4738 | |
(601) 708-1834 | |
(601) 708-1837 |
Full Name | Spencer K Boothe |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 119 Highway 80 E, Clinton, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992174452 | NPI | - | NPPES |
03203715 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5603 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capital Orthopaedic Clinic, Pllc | 0941215255 | 34 |
Provider Name | Capital Orthopaedic Clinic, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770687881 PECOS PAC ID: 0941215255 Enrollment ID: O20060208000127 |
Mailing Address | Practice Location Address |
---|---|
Spencer K Boothe, PT 303 Rockbridge Dr, Madison, MS 39110-6989 Ph: (601) 278-3578 | Spencer K Boothe, PT 119 Highway 80 E, Clinton, MS 39056-4738 Ph: (601) 708-1834 |
Jordan Jenkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 E Northside Dr, Clinton, MS 39056 Phone: 601-924-0645 Fax: 601-607-1375 | |
Andrew Lambert, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205 | |
Erica Goldsmith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy Ste B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979 | |
Elite Sports Medicine & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Clinton Pkwy, Suite B, Clinton, MS 39056 Phone: 601-924-7828 Fax: 601-924-3979 | |
Mark Page Miller Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 703 Clinton Pkwy, Clinton, MS 39056 Phone: 601-708-4205 Fax: 601-708-4707 | |
David M Gibbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Merganser Trl, Clinton, MS 39056 Phone: 601-497-0107 | |
Sarah Newell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 322 Highway 80 E Ste 10&11, Clinton, MS 39056 Phone: 601-460-0910 Fax: 601-460-0911 |