| Magnolia Professional Billing | |
|
611 Alcorn Dr Corinth MS 38834-9321 | |
| (662) 293-1000 | |
| (662) 293-1683 |
| Full Name | Magnolia Professional Billing |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Alcorn Dr, Corinth, Mississippi |
| Authorized Official Name and Position | Howard D 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 Professional Billing 611 Alcorn Dr Corinth MS 38834-9321 Ph: (662) 293-1000 | Magnolia Professional Billing 611 Alcorn Dr Corinth MS 38834-9321 Ph: (662) 293-1000 |
| NPI Number | 1528592961 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 01/25/2019 |
| Medicare PECOS PAC ID | 2860760279 |
|---|---|
| Medicare Enrollment ID | O20170607001996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528592961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Foropoulos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528089794 PECOS PAC ID: 5698758217 Enrollment ID: I20040615000844 |
| Provider Name | Robert A Erdin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538144209 PECOS PAC ID: 6406831882 Enrollment ID: I20040726000929 |
| Provider Name | Nanni Pidikiti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417970518 PECOS PAC ID: 4789789181 Enrollment ID: I20070413000047 |
| Provider Name | Susan Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659374767 PECOS PAC ID: 7719951813 Enrollment ID: I20160718001559 |
| Provider Name | Martin P Gagliardi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649262650 PECOS PAC ID: 4587654165 Enrollment ID: I20190220003089 |
| Provider Name | Michael D London |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871664250 PECOS PAC ID: 2062407174 Enrollment ID: I20190516002077 |
| Provider Name | Gregory Edmund Jeansonne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952344723 PECOS PAC ID: 7517961857 Enrollment ID: I20200113001177 |
| Provider Name | Richard B Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205812948 PECOS PAC ID: 9830271865 Enrollment ID: I20200219000286 |
| Provider Name | Christopher Tucker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679664031 PECOS PAC ID: 3072645936 Enrollment ID: I20210311002005 |
| Provider Name | Terry I Younger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598731481 PECOS PAC ID: 4880593177 Enrollment ID: I20210818000801 |
Mrh Medical Group, Corinth Alcorn Dr. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 508 Alcorn Dr, Corinth, MS 38834 Phone: 663-396-4733 | |
Magnolia Physician Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-7618 | |
Magnolia Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Alcorn Dr, Suite 109, Corinth, MS 38834 Phone: 662-286-1499 Fax: 662-286-9041 | |
Magnolia Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3714 Highway 72 W, Corinth, MS 38834 Phone: 662-293-1575 Fax: 662-293-1576 | |
Magnolia Infectious Disease Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 Alcorn Dr, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Norman Rd, Corinth, MS 38834 Phone: 662-293-1000 | |
Magnolia Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3704 Highway 72 W, Corinth, MS 38834 Phone: 662-665-8041 Fax: 662-665-8049 |