Heather Elizabeth Waters, DO | |
1146 Evelyn Gandy Pkwy, Petal, MS 39465 | |
(601) 584-4309 | |
Not Available |
Full Name | Heather Elizabeth Waters |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 1146 Evelyn Gandy Pkwy, Petal, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700197977 | NPI | - | NPPES |
21796 | Other | MS MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21796 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne General Hospital | Waynesboro, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wayne General Hospital | 2668457581 | 30 |
Entity Name | Wayne General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093930638 PECOS PAC ID: 2668457581 Enrollment ID: O20040623000865 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Heather Elizabeth Waters, DO 1146 Evelyn Gandy Pkwy, Petal, MS 39465-3947 Ph: (601) 584-4309 | Heather Elizabeth Waters, DO 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Ph: (601) 584-4309 |
Rodney N Lovitt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 Fax: 601-584-6457 | |
Mr. William Phillip Fortenberry Jr., Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-544-7404 | |
Patricia Lurline Campbell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
John Clayton Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 | |
Ronald A Bullock, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Donald V Conerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Dr. Robert Michael Weaver, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890 |