Airston Small Moses, FNP | |
840 N Oak Ave, Ruleville, MS 38771-3227 | |
(662) 756-4024 | |
Not Available |
Full Name | Airston Small Moses |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 840 N Oak Ave, Ruleville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780302935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905497 (Mississippi) | Primary |
Entity Name | Pain Treatment Centers Of America Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20211104001837 |
Mailing Address | Practice Location Address |
---|---|
Airston Small Moses, FNP 216 E President Ave, Greenwood, MS 38930-3516 Ph: (662) 897-5070 | Airston Small Moses, FNP 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-4024 |
Michaela Stone, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-1788 Fax: 662-756-1694 | |
Kristen Cassidy Scott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Mrs. Judy Ann Pearce, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 Fax: 662-756-4023 | |
Kathryn Meredith James, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Michael T Beckum, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-2711 Fax: 662-756-4114 | |
Katherine Ethridge Summers, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 | |
Natalie Roberts Dozier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N Oak Ave, Ruleville, MS 38771 Phone: 662-756-4024 |