Breanna Heard-pinho, | |
1901 Mission 66, Vicksburg, MS 39180-3711 | |
(601) 636-1050 | |
(601) 631-2337 |
Full Name | Breanna Heard-pinho |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1901 Mission 66, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265068290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31638 (Mississippi) | Primary |
Entity Name | Greater Mobile Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622 |
Entity Name | Gmuc Of Springhill Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731 |
Entity Name | Gmuc Of Citronelle Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164794343 PECOS PAC ID: 8426210014 Enrollment ID: O20120426000475 |
Mailing Address | Practice Location Address |
---|---|
Breanna Heard-pinho, 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-1050 | Breanna Heard-pinho, 1901 Mission 66, Vicksburg, MS 39180-3711 Ph: (601) 636-1050 |
Dr. Robert C Masterson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-8244 | |
Carlos Alberto Latorre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 | |
Stanley R Easterling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 104 Mcauley Dr, Vicksburg, MS 39183 Phone: 601-638-7271 | |
George Abraham, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 Mission 66, Vicksburg, MS 39180 Phone: 601-619-3838 | |
John R Barnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 | |
Dr. Robert Michael Cannon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 Mission 66, Vicksburg, MS 39180 Phone: 601-636-0097 Fax: 601-629-9969 |