Kendal Gaines, | |
499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4712 | |
(662) 640-4595 | |
Not Available |
Full Name | Kendal Gaines |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 499 Gloster Creek Vlg Ste A3, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487371563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 904530 (Mississippi) | Primary |
Entity Name | Northeast Mental Health-mental Retardation Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548413628 PECOS PAC ID: 5193611747 Enrollment ID: O20040223000473 |
Mailing Address | Practice Location Address |
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Kendal Gaines, 499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4712 Ph: (662) 640-4595 | Kendal Gaines, 499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4712 Ph: (662) 640-4595 |
Donna Harrington, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 609 Brunson Dr, Tupelo, MS 38801 Phone: 662-844-7021 Fax: 662-842-5207 | |
Thomas Mcdonald, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720 | |
Dr. Aracelis Johanna Lu Brea, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 111 S Spring St, Tupelo, MS 38804 Phone: 662-432-1221 Fax: 662-432-0699 | |
William Thomas Oakes Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 609 Brunson Dr, Tupelo, MS 38801 Phone: 662-844-7021 Fax: 662-842-5207 | |
Mark H. Fletcher, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 609 Brunson Dr, Tupelo, MS 38801 Phone: 662-844-7021 Fax: 662-842-5207 | |
Dr. Andrea Koosne Garrison, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4577 S Eason Blvd, Tupelo, MS 38801 Phone: 662-377-7590 Fax: 662-377-7595 | |
Dr. Joanne Eleanor Turner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804 Phone: 662-844-1717 Fax: 662-680-6416 |