Mrs Susan Caselli, CFNP | |
25 S Fourth St, Rolling Fork, MS 39159-5146 | |
(662) 873-0477 | |
(662) 873-0742 |
Full Name | Mrs Susan Caselli |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 25 S Fourth St, Rolling Fork, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962406959 | NPI | - | NPPES |
00122933 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R604569 (Mississippi) | Primary |
Entity Name | Sharkey Issaquena Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013004795 PECOS PAC ID: 1759283039 Enrollment ID: O20040126000869 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Caselli, CFNP 373 Sago Road Rt. 1, Box 74n, Anguilla, MS 38721 Ph: (662) 873-4666 | Mrs Susan Caselli, CFNP 25 S Fourth St, Rolling Fork, MS 39159-5146 Ph: (662) 873-0477 |
Dr. Michael Leo Baker, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-4361 Fax: 662-873-2921 | |
Mrs. Angelia Michele Eason, NURSE PRACTITIONER Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-655-1236 | |
Andrew George, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 283 W Race St, Rolling Fork, MS 39159 Phone: 662-873-0477 Fax: 662-655-1236 | |
Dr. Benjamin Ozbun, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-5205 | |
Dr. Danny Wade Jackson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 29 S Fourth St, Rolling Fork, MS 39159 Phone: 662-873-4361 Fax: 662-873-2921 |