Jerry L Stennett, MD | |
255 Baptist Blvd, Ste 407, Columbus, MS 39705-2011 | |
(662) 241-4223 | |
(662) 241-4460 |
Full Name | Jerry L Stennett |
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Gender | Male |
Speciality | Surgery |
Location | 255 Baptist Blvd, Columbus, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467479485 | NPI | - | NPPES |
00010424 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 7718 (Mississippi) | Primary |
Entity Name | Baptist Memorial Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
Mailing Address | Practice Location Address |
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Jerry L Stennett, MD Po Box 405827, Atlanta, GA 30384-5800 Ph: () - | Jerry L Stennett, MD 255 Baptist Blvd, Ste 407, Columbus, MS 39705-2011 Ph: (662) 241-4223 |
Kenneth Brian Boyd, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 407, Columbus, MS 39705 Phone: 662-241-4223 Fax: 662-241-4460 | |
Gerry L Jeffcoat, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 255 Baptist Blvd, Ste 307, Columbus, MS 39705 Phone: 662-328-1862 Fax: 662-328-7597 | |
Dr. James Bradley Beckham, M.S., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 307, Columbus, MS 39705 Phone: 662-328-1862 Fax: 662-328-7597 | |
Dr. Jan T Mcclanahan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 255 Baptist Blvd., Suite 407, Columbus, MS 39705 Phone: 662-241-4223 Fax: 662-241-4460 | |
Dr. Michael Allen Berry, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Hospital Dr Ste 2, Columbus, MS 39705 Phone: 601-984-5101 | |
Dr. Richard C. Vallette, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd., Ste. 407, Columbus, MS 39705 Phone: 662-241-4223 Fax: 662-241-4460 |