Nels Wallace Thorderson, MD | |
499 S Gloster St Ste G1, Tupelo, MS 38801-5539 | |
(662) 377-2663 | |
Not Available |
Full Name | Nels Wallace Thorderson |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 26 Years |
Location | 499 S Gloster St Ste G1, Tupelo, 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 |
---|---|---|---|
1740250331 | NPI | - | NPPES |
01573566 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 18527 (Mississippi) | Secondary |
207X00000X | Orthopaedic Surgery | 18527 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic Institute Of North Mississippi, Llc | 7113914078 | 11 |
Entity Name | Orthopaedic Institute Of North Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790755320 PECOS PAC ID: 7113914078 Enrollment ID: O20040430000679 |
Mailing Address | Practice Location Address |
---|---|
Nels Wallace Thorderson, MD 499 S Gloster St # G1, Tupelo, MS 38801-5539 Ph: (662) 377-2663 | Nels Wallace Thorderson, MD 499 S Gloster St Ste G1, Tupelo, MS 38801-5539 Ph: (662) 377-2663 |
Dr. Jeremy Caleb Adams, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204 | |
Eric Van Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 499 Gloster Creek Vlg Ste G1, Tupelo, MS 38801 Phone: 662-377-2663 Fax: 662-840-5856 | |
Dr. Taylor Phillips Mathis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St, Suite A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204 | |
Mr. Richard D. Rainey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 South Gloster, Suite A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204 | |
Jeb Williams, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 499 S Gloster St Ste G1, Tupelo, MS 38801 Phone: 662-377-2663 | |
Dr. David Vecchione, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 S Gloster St Ste A, Tupelo, MS 38801 Phone: 662-767-4200 Fax: 662-767-4204 | |
Dr. George Karl Van Osten Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4381 South Eason Blvd., Suite 303, North Mississippi Sports Medicine And Orthopaedic Clini, Tupelo, MS 38801 Phone: 662-840-5747 Fax: 662-840-5856 |