Jose Menendez, DO | |
14884 Highway 15, Decatur, MS 39327-9697 | |
(601) 635-2258 | |
(601) 635-2259 |
Full Name | Jose Menendez |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 14884 Highway 15, Decatur, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851918221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31814 (Mississippi) | Primary |
Entity Name | Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Entity Name | Rush Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467736421 PECOS PAC ID: 6901702901 Enrollment ID: O20031210000862 |
Entity Name | Laird Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Mailing Address | Practice Location Address |
---|---|
Jose Menendez, DO 14884 Highway 15, Decatur, MS 39327-9697 Ph: (601) 635-2258 | Jose Menendez, DO 14884 Highway 15, Decatur, MS 39327-9697 Ph: (601) 635-2258 |
Dr. John C. Mutziger I, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14884 Hwy 15, Decatur, MS 39327 Phone: 601-635-2258 Fax: 601-635-2259 | |
James Cary Bradshaw, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14884 Highway 15, Decatur, MS 39327 Phone: 604-635-2258 |