Amanda Brand Mahan, FNP-C | |
1002 E Madison St, Houston, MS 38851-2428 | |
(662) 456-1015 | |
(662) 456-1094 |
Full Name | Amanda Brand Mahan |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1002 E Madison St, Houston, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720562226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 902944 (Mississippi) | Primary |
Entity Name | Altheacare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467177683 PECOS PAC ID: 1052789302 Enrollment ID: O20221117002993 |
Mailing Address | Practice Location Address |
---|---|
Amanda Brand Mahan, FNP-C 1002 E Madison St, Houston, MS 38851-2428 Ph: (662) 456-1015 | Amanda Brand Mahan, FNP-C 1002 E Madison St, Houston, MS 38851-2428 Ph: (662) 456-1015 |
Meagan Zepeda Hillhouse, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 E Madison St, Houston, MS 38851 Phone: 662-456-3700 | |
Colby Ponder, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 W Hamilton St, Houston, MS 38851 Phone: 662-598-8141 Fax: 662-796-3126 | |
Garth H Horn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 457 E Madison St, Houston, MS 38851 Phone: 662-456-4277 Fax: 662-456-9589 | |
Jan Sherlene Poley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8 East Madison St, Houston, MS 38851 Phone: 662-456-4288 | |
Mrs. Angela Furr, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 Country Club Rd, Houston, MS 38851 Phone: 662-456-3437 Fax: 662-456-2070 | |
Aretha Renee Harris, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 403 E Washington St, Houston, MS 38851 Phone: 662-631-4316 Fax: 406-315-7338 | |
Anita J Falls, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 E Madison St Ste 2, Houston, MS 38851 Phone: 662-456-4277 Fax: 662-456-9589 |