Gavin Casey Mayo, | |
200 Course Drive, Suite M, Carriere, MS 39426-9037 | |
(769) 242-3185 | |
(769) 242-0099 |
Full Name | Gavin Casey Mayo |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 200 Course Drive, Carriere, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902514680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905668 (Mississippi) | Primary |
Entity Name | Wound Care Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
Mailing Address | Practice Location Address |
---|---|
Gavin Casey Mayo, Po Box 1089, Hammond, LA 70404-1089 Ph: (985) 892-7070 | Gavin Casey Mayo, 200 Course Drive, Suite M, Carriere, MS 39426-9037 Ph: (769) 242-3185 |
Jonathan Trahan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 | |
Kelly Day, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Golf Course Dr Ste M, Carriere, MS 39426 Phone: 769-242-3185 Fax: 769-242-0099 | |
Mr. Andrew C Ramsdell, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Golf Course Dr, Carriere, MS 39426 Phone: 601-699-9846 | |
Krista K Hodge, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6941 Highway 11 Ste A, Carriere, MS 39426 Phone: 601-749-3714 Fax: 601-749-3776 | |
Mrs. Carolyn Ann Blythe, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 Pink Smith Rd, Carriere, MS 39426 Phone: 601-749-3887 Fax: 601-749-3887 | |
Allyson Marie Penton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E Lakeshore Dr, Carriere, MS 39426 Phone: 601-622-2423 | |
Mr. Jason Evan Carr, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6941 Highway 11, Suite A, Carriere, MS 39426 Phone: 601-794-3714 Fax: 601-749-3776 |