Clay Eckerson, | |
133 Pine St, Hazlehurst, MS 39083-2309 | |
(601) 894-2027 | |
Not Available |
Full Name | Clay Eckerson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 133 Pine St, Hazlehurst, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194020651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2014 (Mississippi) | Primary |
Provider Name | Tri-vista Rehab, Inc. |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982799516 PECOS PAC ID: 0345390308 Enrollment ID: O20200930000089 |
Mailing Address | Practice Location Address |
---|---|
Clay Eckerson, 4109 Highway 98 W, Summit, MS 39666-9132 Ph: () - | Clay Eckerson, 133 Pine St, Hazlehurst, MS 39083-2309 Ph: (601) 894-2027 |
David Shane Prather, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Pine St, Hazlehurst, MS 39083 Phone: 601-894-1411 | |
Alysia R Newman, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 236 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-9004 Fax: 601-894-3004 | |
Tyler Barnes, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 236 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-9004 | |
Mrs. Courtney Rachel Britt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 133 Pine St, Hazlehurst, MS 39083 Phone: 601-894-8006 | |
Mrs. Katie Jackson Walker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27190 Highway 28, Hazlehurst, MS 39083 Phone: 601-574-7000 | |
Jonathan Garrett Bass, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 W Gallatin St, Hazlehurst, MS 39083 Phone: 601-894-5929 Fax: 601-894-2693 |