Casey Banahan Baine, ACAGNP | |
969 Lakeland Dr, Jackson, MS 39216-4606 | |
(601) 200-3631 | |
(601) 200-0159 |
Full Name | Casey Banahan Baine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 969 Lakeland Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245835263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 904142 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Dominic Jackson Memorial | 4385531847 | 41 |
Wound Management Specialists Llc | 5193056364 | 94 |
Entity Name | St. Dominic Jackson Memorial |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
Entity Name | Healthcare Plus Limited Liability Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20180404001439 |
Entity Name | Wound Management Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339 |
Mailing Address | Practice Location Address |
---|---|
Casey Banahan Baine, ACAGNP 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (601) 200-3631 | Casey Banahan Baine, ACAGNP 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-3631 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 | |
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400 |