Kathryn Grace Taylor, MD | |
1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 | |
(601) 829-2939 | |
(601) 829-2995 |
Full Name | Kathryn Grace Taylor |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1220 N Shore Pkwy, Brandon, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235339516 | NPI | - | NPPES |
06400753 | Medicaid | MS | |
P00622806 | Other | MS | RAILROAD MEDICARE PTAN |
512I080155 | Other | MS | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20018 (Mississippi) | Primary |
Entity Name | Ms State Department Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
Entity Name | Flowood River Oaks Hma Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Grace Taylor, MD 1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 Ph: (601) 829-2939 | Kathryn Grace Taylor, MD 1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 Ph: (601) 829-2939 |
Charvi Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1887 Spillway Rd, Brandon, MS 39047 Phone: 601-992-5532 Fax: 601-992-5547 | |
Robert Allen Sheely, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 N Shore Pkwy Ste A, Brandon, MS 39047 Phone: 601-829-2939 Fax: 601-829-2995 | |
Delecia Carter, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-3163 | |
Dr. Meseret Teferra, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-7280 Fax: 601-825-8130 | |
Dr. Richard C Randolph, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 348 Crossgates Blvd, Suite 2200, Brandon, MS 39042 Phone: 601-825-2466 Fax: 601-824-8137 | |
Amy Hollman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Lakeland Pl, Brandon, MS 39047 Phone: 601-992-2200 Fax: 601-992-4333 |