Scott Anthony Hancock, D.C.

Individual provider Active NPI Chiropractor · Philadelphia, MS

NPI 1811043771 · NPPES record last updated Nov 1, 2011

Key facts

NPI
1811043771
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
0953 (MS)
Practice address
1010A E Main St
Philadelphia, MS 39350-2308
Phone
(601) 656-8710
Fax
(601) 389-0760
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1010 A E Main St
Philadelphia, MS 39350-2308
Phone (601) 656-8710

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111108000254 MS Practitioner - Chiropractic 2062685027 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0953MSMDChiropractor
953MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Chiropractic Clinic, Inc. Current
since Jan 8, 1998
Accepting new patients

Locations

1010A E Main St
Philadelphia, MS 39350
Phone (601) 389-0720

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0953 MS Yes

Addresses

Primary practice location

1010A E Main St
Philadelphia, MS 39350-2308

Mailing address

1010A E Main St
Philadelphia, MS 39350-2308
Phone (601) 656-8710

Other providers in Philadelphia, MS

All providers in Philadelphia, MS · Chiropractor in Mississippi

Sources for this page

Verify at the official NPI Registry.