Olivia D Moran, MD | |
84 Laird Brinson Rd, Prentiss, MS 39474-4237 | |
(601) 792-4079 | |
Not Available |
Full Name | Olivia D Moran |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 84 Laird Brinson Rd, Prentiss, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447365606 | NPI | - | NPPES |
1558961 | Other | MS | AMERICAN ADMIN GROUP |
00019906 | Medicaid | MS | |
080014942 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11394 (Mississippi) | Primary |
Entity Name | Forrest County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | Keystone Medical Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
Mailing Address | Practice Location Address |
---|---|
Olivia D Moran, MD 84 Laird Brinson Rd, Prentiss, MS 39474-4237 Ph: (601) 792-4079 | Olivia D Moran, MD 84 Laird Brinson Rd, Prentiss, MS 39474-4237 Ph: (601) 792-4079 |
Laura Jackson Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Dr. Earl L Mahaffey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Jefferson Davis General Hospital, Prentiss, MS 39474 Phone: 601-792-2200 Fax: 601-792-2345 |