1310 HIGHWAY 72 E
CORINTH, MS 38834-6524 US PECOS Enrolled
Overview
Mandar R Jagtap is a Cardiologist in the CORINTH area and has over 15 years of experience. Mandar R Jagtap primary office location is at 1310 HIGHWAY 72 E and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2009
Mandar R Jagtap is affiliated with seven hospitals in the CORINTH area, including . The NPI number is 1255560918 and the information was updated approximately 3 years ago.
Mandar R Jagtap is part of three medical groups, including BAPTIST MEMORIAL HOSPITAL-BOONEVILLE, INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 25097 | MS |
| OS13840 | FL |
| Type/Issuer | Identifier | State |
|---|---|---|
| MS MEDICARE INDIVIDUAL | 1H1365 | MS |
| MEDICAID | 03005201 | MS |
| Taxonomy | State | Primary? |
|---|---|---|
| Cardiologist - Taxonomy Code 207RC0000X | MS | Y |
| Cardiologist - Taxonomy Code 207RC0000X | FL | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20171003004454 |
| PECOS Individual PAC ID: | 4688966435 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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