Charles Allen Bruce, FNP-C | |
1238 Highway 42, Sumrall, MS 39482-9519 | |
(601) 758-3100 | |
(601) 758-3060 |
Full Name | Charles Allen Bruce |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1238 Highway 42, Sumrall, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740646421 | NPI | - | NPPES |
09931583 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 901427 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Charles Allen Bruce, FNP-C 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 758-3100 | Charles Allen Bruce, FNP-C 1238 Highway 42, Sumrall, MS 39482-9519 Ph: (601) 758-3100 |
Mrs. Anna Fails, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1039 Ms Highway 42, Suite 3, Sumrall, MS 39482 Phone: 769-307-6995 Fax: 769-307-6996 | |
Jacentha Latress Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49 Latigo Loop, Sumrall, MS 39482 Phone: 601-596-6894 | |
Lindsey Boswell, APRN FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Parrish Rd, Sumrall, MS 39482 Phone: 601-410-3262 | |
Sarah M Wainwright, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 | |
Mrs. Jamie Elaine Thornton, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 | |
Pamela Jane Thompson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 348 Knight Rd, Sumrall, MS 39482 Phone: 251-847-3374 Fax: 251-847-3374 | |
Aimmee Rochelle Chestang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Chastain Ln, Sumrall, MS 39482 Phone: 601-807-0921 |