John Michael Porter, OT | |
103 Medical Park, Hattiesburg, MS 39401-9042 | |
(601) 268-5757 | |
(601) 579-5220 |
Full Name | John Michael Porter |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 10 Years |
Location | 103 Medical Park, Hattiesburg, 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 |
---|---|---|---|
1518347681 | NPI | - | NPPES |
08425764 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Provider Name | Hattiesburg Clinic Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
John Michael Porter, OT 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5757 | John Michael Porter, OT 103 Medical Park, Hattiesburg, MS 39401-9042 Ph: (601) 268-5757 |
Jessica Kopf Cornett, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-264-0310 | |
Jeremy Lofton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Carly Toups, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 | |
Lee Pace, FNP, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Alicia Thornton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 Fax: 601-607-1377 | |
Kellie Sasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Blvd, Hattiesburg, MS 39401 Phone: 601-543-0310 | |
Naja Walton, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Fox Chase Dr, Hattiesburg, MS 39402 Phone: 601-366-1081 |