Primesource Nursing Services, Inc | |
370 Courthouse Rd Ste 106 Gulfport MS 39507-1889 | |
(228) 865-1330 | |
(228) 865-1331 |
Full Name | Primesource Nursing Services, Inc |
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Speciality | Nurse Practitioner |
Location | 370 Courthouse Rd Ste 106, Gulfport, Mississippi |
Authorized Official Name and Position | Rhett M Plauche (PRESIDENT) |
Authorized Official Contact | 2288651330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primesource Nursing Services, Inc Po Box 6705 Gulfport MS 39506-6705 Ph: (228) 865-1330 | Primesource Nursing Services, Inc 370 Courthouse Rd Ste 106 Gulfport MS 39507-1889 Ph: (228) 865-1330 |
NPI Number | 1962573170 |
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Provider Enumeration Date | 11/10/2006 |
Last Update Date | 01/20/2025 |
Certification Date | 01/20/2025 |
Medicare PECOS PAC ID | 7113966037 |
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Medicare Enrollment ID | O20050429000745 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962573170 | NPI | - | NPPES |
06550237 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | 7381 (Mississippi) | Primary |
Provider Name | Gayle E Hamilton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578587523 PECOS PAC ID: 6406863794 Enrollment ID: I20060310000533 |
Provider Name | Lucy B Hodges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639331994 PECOS PAC ID: 1355403452 Enrollment ID: I20081226000146 |
Provider Name | Jennifer S Brechtel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649370503 PECOS PAC ID: 9638179435 Enrollment ID: I20100510000251 |
Provider Name | Phillip D Compton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578591186 PECOS PAC ID: 3476631458 Enrollment ID: I20100730000286 |
Provider Name | Colleen Mcmahon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922559012 PECOS PAC ID: 8123395944 Enrollment ID: I20170530000368 |
Provider Name | Kelly L Tinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407336423 PECOS PAC ID: 5294089900 Enrollment ID: I20181115002895 |
Provider Name | April Norwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028316 PECOS PAC ID: 6103167606 Enrollment ID: I20190410001984 |
Provider Name | Hannah Leigh Fore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114481488 PECOS PAC ID: 2466785944 Enrollment ID: I20190617000413 |
Provider Name | Lauren R Meaut |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669002333 PECOS PAC ID: 4486084597 Enrollment ID: I20200413003056 |
Provider Name | Jennifer Galle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073747564 PECOS PAC ID: 9234560293 Enrollment ID: I20200507002858 |
Provider Name | Jeri Hughes Squyres |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538107164 PECOS PAC ID: 1658748538 Enrollment ID: I20221107000096 |
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