Hattiesburg Clinic, Pa is a
Podiatrist based in Columbia, Mississippi. Hattiesburg Clinic, Pa is licensed to practice in * (Not Available) (license number ) and their current practice location is
502 Broad St Ste 2, Columbia, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 736-8282.
NPI number for Hattiesburg Clinic, Pa is 1902617632 and their current mailing address is 415 S 28th Ave, Hattiesburg, Mississippi. Hattiesburg Clinic, Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902617632.
Healthcare Provider's Profile
Full Name | Hattiesburg Clinic, Pa |
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Type | Facility |
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Speciality | Podiatrist |
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Location | 502 Broad St Ste 2, Columbia, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902617632
- Provider Enumeration Date: 01/14/2025
- Last Update Date: 01/16/2025
Medical Identifiers
Medical identifiers for Hattiesburg Clinic, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902617632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | (* (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
NOT enrolled with medicare and thus cannot 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) 264-6000 | Hattiesburg Clinic, Pa 502 Broad St Ste 2, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
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