Michael C Mattingly, MD | |
401 Baptist Dr Ste 301, Madison, MS 39110-2012 | |
(601) 499-0935 | |
(601) 499-0935 |
Full Name | Michael C Mattingly |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 20 Years |
Location | 401 Baptist Dr Ste 301, Madison, 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 |
---|---|---|---|
1659549681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01064218A (Indiana) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 01064218A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mississippi Center For Advanced Medicine, Pc | 1951693282 | 9 |
Entity Name | Mississippi Center For Advanced Medicine, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790227627 PECOS PAC ID: 1951693282 Enrollment ID: O20160707000847 |
Mailing Address | Practice Location Address |
---|---|
Michael C Mattingly, MD 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 Ph: (601) 499-0935 | Michael C Mattingly, MD 401 Baptist Dr Ste 301, Madison, MS 39110-2012 Ph: (601) 499-0935 |
Amy Potter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936 | |
Spencer K Sullivan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7730 Old Canton Rd Bldg B, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936 | |
Dr. Saima Hanif, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936 | |
Dr. Steven P. Chevalier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7726 Old Canton Rd, Madison, MS 39110 Phone: 601-856-5105 Fax: 601-856-8637 | |
Dr. Meghan Page Poole, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 286 Calhoun Station Pkwy, Madison, MS 39110 Phone: 601-200-4321 Fax: 601-859-0159 | |
Ashley W Mcglawn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr, Madison, MS 39110 Phone: 601-856-2598 Fax: 601-856-4459 | |
Dr. Whitney Herring, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 7730 Old Canton Rd Bldg A, Madison, MS 39110 Phone: 601-499-0935 Fax: 601-499-0936 |