Brent D Bevard, DO | |
1 Lincoln Pkwy Ste 300, Hattiesburg, MS 39402-3261 | |
(601) 261-1600 | |
(601) 268-5819 |
Full Name | Brent D Bevard |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 29 Years |
Location | 1 Lincoln Pkwy Ste 300, Hattiesburg, 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 |
---|---|---|---|
1669486692 | NPI | - | NPPES |
03184271 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | A-1167-01 (New Mexico) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 18004 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Brent D Bevard, DO 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-1600 | Brent D Bevard, DO 1 Lincoln Pkwy Ste 300, Hattiesburg, MS 39402-3261 Ph: (601) 261-1600 |
Barbara S Barnard, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5430 Fax: 601-268-5819 | |
Parker Lynn Bell, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5430 Fax: 601-579-5431 | |
Dr. Brian Scott Trussell, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 105 Asbury Cir, Suite B, Hattiesburg, MS 39402 Phone: 601-450-0200 Fax: 601-450-0204 |