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 |
|---|
| 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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