Chestnut Medical Clinic | |
500 S Chestnut St Aberdeen MS 39730-3337 | |
(601) 369-9525 | |
Not Available |
Full Name | Chestnut Medical Clinic |
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Speciality | Clinic/Center |
Location | 500 S Chestnut St, Aberdeen, Mississippi |
Authorized Official Name and Position | Joseph S Mcnulty (PRESIDENT) |
Authorized Official Contact | 6918494112 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chestnut Medical Clinic Po Box 1100 Magee MS 39111-1100 Ph: (601) 849-6440 | Chestnut Medical Clinic 500 S Chestnut St Aberdeen MS 39730-3337 Ph: (601) 369-9525 |
NPI Number | 1083658595 |
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Provider Enumeration Date | 06/15/2006 |
Last Update Date | 06/02/2008 |
Medicare PECOS PAC ID | 6305827478 |
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Medicare Enrollment ID | O20040525001333 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083658595 | NPI | - | NPPES |
09015888 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
Provider Name | Jonathan H Massey |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699745133 PECOS PAC ID: 8921094236 Enrollment ID: I20040422000604 |
Provider Name | Charles L Mccullouch |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710964754 PECOS PAC ID: 8729066923 Enrollment ID: I20040713001089 |
Provider Name | Genie B Vaughan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134231541 PECOS PAC ID: 3779554829 Enrollment ID: I20040803001135 |
Provider Name | Larry Cooper |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023078086 PECOS PAC ID: 1557328374 Enrollment ID: I20041214000282 |
Provider Name | Roger L Nunez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932132669 PECOS PAC ID: 4284692617 Enrollment ID: I20041230000547 |
Provider Name | Gail Miller |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1023037629 PECOS PAC ID: 7113975319 Enrollment ID: I20050104001032 |
Provider Name | Saleem A Ali |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801989124 PECOS PAC ID: 2860422003 Enrollment ID: I20050817000203 |
Provider Name | William B Rogers |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730196072 PECOS PAC ID: 8123035631 Enrollment ID: I20060308000457 |
Provider Name | Patrizia M Colbert |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316980931 PECOS PAC ID: 7618985961 Enrollment ID: I20060328000228 |
Provider Name | Diego Velasco |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891992434 PECOS PAC ID: 9739275082 Enrollment ID: I20071017000743 |
Provider Name | Zvi Marom |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1619000494 PECOS PAC ID: 8921187253 Enrollment ID: I20080512000220 |
Provider Name | Beverly Brown |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710913801 PECOS PAC ID: 9335165562 Enrollment ID: I20080513000516 |
Provider Name | Robert E Gramling |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1891950283 PECOS PAC ID: 7012073349 Enrollment ID: I20090311000412 |
Provider Name | Elisabeth Faith Hale |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568766327 PECOS PAC ID: 3274717111 Enrollment ID: I20120618000029 |
Provider Name | William S Darsey |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1689961914 PECOS PAC ID: 2264667203 Enrollment ID: I20131030000373 |
Provider Name | Jason E Carr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871935189 PECOS PAC ID: 0244465037 Enrollment ID: I20131104000235 |
Provider Name | Robert David Herring |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487966750 PECOS PAC ID: 7113822545 Enrollment ID: I20140103000405 |
Provider Name | Teresa Darlene Kendrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437406485 PECOS PAC ID: 4880849801 Enrollment ID: I20150423000113 |
Provider Name | David J Mulvaney |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578509659 PECOS PAC ID: 0446294565 Enrollment ID: I20150501001415 |
Provider Name | John R Browning |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396185765 PECOS PAC ID: 7719296730 Enrollment ID: I20151014000934 |
Provider Name | Edward Johnson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285073890 PECOS PAC ID: 3678882602 Enrollment ID: I20151014001211 |
Provider Name | Edmund M Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689089203 PECOS PAC ID: 0042517666 Enrollment ID: I20160328000378 |
Provider Name | Sandy Lieu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952716573 PECOS PAC ID: 8325346653 Enrollment ID: I20160419002584 |
Provider Name | Jessica A Lauderdale |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093095523 PECOS PAC ID: 4082901228 Enrollment ID: I20170111000566 |
Provider Name | Jordan Webster Steele |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568843332 PECOS PAC ID: 0143517946 Enrollment ID: I20170327000878 |
Mrh Medical Group, Brown Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 S Chestnut St, Aberdeen, MS 39730 Phone: 662-369-6977 Fax: 662-369-6979 | |
Aberdeen Health Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Chestnut Street, Aberdeen, MS 39730 Phone: 662-369-6131 Fax: 662-369-4588 | |
Vincent B. Barker, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Jackson St, Aberdeen, MS 39730 Phone: 662-369-6431 Fax: 662-369-6473 | |
Nina Jurney Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Jackson St, Suite 4, Aberdeen, MS 39730 Phone: 662-369-9945 | |
Monroe Regional Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Jackson St Ste 5, Aberdeen, MS 39730 Phone: 219-395-0667 | |
Mrh Medical Group, Jurney Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Jackson St Ste 4, Aberdeen, MS 39730 Phone: 219-395-0667 |