Podiatry - Pine Street in Hattiesburg, MS - Medicare Podiatrist Provider

Podiatry - Pine Street is a medicare enrolled "Podiatrist" provider in Hattiesburg, Mississippi. Their current practice location is 908 W Pine St, Hattiesburg, Mississippi. You can reach out to their office (for appointments etc.) via phone at (601) 579-3022.

Podiatry - Pine Street is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Podiatry - Pine Street is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609469899.

Contact Information

	Podiatry - Pine Street
	908 W Pine St, Hattiesburg, MS 39401-4262
	(601) 579-3022
	(601) 543-0472

Healthcare Provider's Profile

Full Name	Podiatry - Pine Street
Type	Facility
Speciality	Podiatrist
Location	908 W Pine St, Hattiesburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609469899
Provider Enumeration Date: 02/18/2021
Last Update Date: 03/02/2021

Medicare PECOS Information:

PECOS PAC ID: 5193706794
Enrollment ID: O20210304000451

Medical Identifiers

Medical identifiers for Podiatry - Pine Street such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609469899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Podiatry - Pine Street is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Podiatry - Pine Street 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-3022	Podiatry - Pine Street 908 W Pine St, Hattiesburg, MS 39401-4262 Ph: (601) 579-3022

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Podiatrist in Hattiesburg, MS

Foot Clinic Of Hattiesburg, P.a. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 710 S 28th Ave, Ste B, Hattiesburg, MS 39402 Phone: 601-264-5793
Michael Sean Zaleski, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 34 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-268-0400 Fax: 601-296-3251
Podiatry Podiatrist Medicare: Medicare Enrolled Practice Location: 1101b S 28th Ave, Hattiesburg, MS 39402 Phone: 601-579-5117 Fax: 601-261-0889
Dr. Gachavis M Green, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-268-0400 Fax: 601-264-3150
Robert Barker, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5117 Fax: 601-261-0889
Total Foot Care Clinic, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 34 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-268-0400 Fax: 601-264-3150

Podiatry - Pine Street - Medicare Podiatrist in Hattiesburg, MS