Pedro Antonio Munera-cordoba, MD | |
103 S 19th Ave, Hattiesburg, MS 39401-6171 | |
(601) 544-4641 | |
(228) 575-3433 |
Full Name | Pedro Antonio Munera-cordoba |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 103 S 19th Ave, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528171469 | NPI | - | NPPES |
09550215 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 17363 (Mississippi) | Primary |
Entity Name | Forrest County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | Oceans Mississippi Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932679958 PECOS PAC ID: 9830422716 Enrollment ID: O20190607001139 |
Mailing Address | Practice Location Address |
---|---|
Pedro Antonio Munera-cordoba, MD Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901 | Pedro Antonio Munera-cordoba, MD 103 S 19th Ave, Hattiesburg, MS 39401-6171 Ph: (601) 544-4641 |
Dr. Raymond L Struck, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 103 S 19th Ave, Hattiesburg, MS 39401 Phone: 601-544-4641 Fax: 601-582-1607 | |
Joshua A Maksi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851 | |
Bertha J Blanchard, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 Asbury Cir, Suite A, Hattiesburg, MS 39402 Phone: 601-268-5222 Fax: 601-296-3508 | |
Roopsi Bassi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy, Suite 202, Hattiesburg, MS 39402 Phone: 601-288-8050 Fax: 601-288-8058 | |
Dr. Thomas Alfonso Miller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Parkway Suite 202, Hattiesburg, MS 39402 Phone: 601-288-8050 | |
Jose P Fernandez Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 Phone: 601-268-5620 Fax: 601-268-5851 | |
Geoffrey B Hartwig, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5851 |