| Magnolia Specialty Clinic | |
|
3704 Hwy. 72 West Corinth MS 38834-8556 | |
| (662) 665-8041 | |
| (662) 665-8049 |
| Full Name | Magnolia Specialty Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3704 Hwy. 72 West, Corinth, Mississippi |
| Authorized Official Name and Position | Howard Nelson (VP PHYSICIAN SERVICES) |
| Authorized Official Contact | 6622937618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Specialty Clinic P.o. Box 2040 Corinth MS 38835-2040 Ph: (662) 665-8041 | Magnolia Specialty Clinic 3704 Hwy. 72 West Corinth MS 38834-8556 Ph: (662) 665-8041 |
| NPI Number | 1881959401 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 5193976025 |
|---|---|
| Medicare Enrollment ID | O20121127000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881959401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Carmen L Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629186382 PECOS PAC ID: 5496750457 Enrollment ID: I20060926000022 |
| Provider Name | William L Senf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295805190 PECOS PAC ID: 1355446642 Enrollment ID: I20070416000133 |
| Provider Name | Gregory J Hale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275503104 PECOS PAC ID: 5294775193 Enrollment ID: I20101209000839 |
| Provider Name | Mary Lindsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508208992 PECOS PAC ID: 5698061653 Enrollment ID: I20180720002821 |
Region Iv Outpatient Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Cass St, Corinth, MS 38834 Phone: 662-286-9860 Fax: 662-286-8095 | |
Crossroads Counseling And Play Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Waldron St Ste B, Corinth, MS 38834 Phone: 662-396-1167 Fax: 662-260-7106 | |
Magnolia Regional Behavioral Health Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Be Well Therapeutics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Bridle Path, Corinth, MS 38834 Phone: 662-415-2553 | |
Region Iv Mental Health Services-nfusion Office Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 Highway 72 E Anx, Corinth, MS 38834 Phone: 662-286-2152 Fax: 662-287-2070 | |
Mid-town Medical Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 815 Childs Street, Corinth, MS 38834 Phone: 662-665-0006 Fax: 662-665-9151 | |
Timber Hills Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 N Madison St, Corinth, MS 38834 Phone: 662-286-9883 Fax: 662-284-9836 |