Dr Theodore David Richards Jr, DO | |
611 Alcorn Dr, Corinth, MS 38834-9321 | |
(166) 229-3768 | |
Not Available |
Full Name | Dr Theodore David Richards Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine - Interventional Cardiology |
Location | 611 Alcorn Dr, Corinth, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760892095 | NPI | - | NPPES |
Entity Name | Pontotoc Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore David Richards Jr, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (166) 229-3768 | Dr Theodore David Richards Jr, DO 611 Alcorn Dr, Corinth, MS 38834-9321 Ph: (166) 229-3768 |
Jessica Suzanne Jensen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Christopher Taylor Smith, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7686 Fax: 662-293-4347 | |
Austin Winegar, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 208-550-2969 | |
John Wayne Prather, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Suite 230, Corinth, MS 38834 Phone: 662-287-5218 Fax: 662-286-3186 | |
Dr. Ryder Lane Costa, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1143 | |
Dr. Michael Tefertiller, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Neil Sloan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Alcorn Dr, Corinth, MS 38834 Phone: 662-665-9073 Fax: 662-665-9098 |