Hannah Gray, FNP | |
201 Birch St, De Kalb, MS 39328-8017 | |
(601) 743-2643 | |
(601) 553-8175 |
Full Name | Hannah Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 201 Birch St, De Kalb, 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 |
---|---|---|---|
1669889457 | NPI | - | NPPES |
03486259 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R882611 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Inc | 9234043712 | 124 |
Entity Name | Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
Entity Name | Rush Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588625594 PECOS PAC ID: 2567368541 Enrollment ID: O20031210000541 |
Entity Name | Laird Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
Entity Name | Scott Regional Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
Entity Name | Kemper Cah, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
Entity Name | Medical Services Of Meridian Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
Mailing Address | Practice Location Address |
---|---|
Hannah Gray, FNP 2701 Davis St, Meridian, MS 39301-5708 Ph: (601) 693-0118 | Hannah Gray, FNP 201 Birch St, De Kalb, MS 39328-8017 Ph: (601) 743-2643 |
Martha Maxine Puckett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14365 Highway 16 W, De Kalb, MS 39328 Phone: 601-743-4626 Fax: 601-743-2133 | |
Latorya Barron, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Birch St, De Kalb, MS 39328 Phone: 601-743-2642 | |
Mrs. Sammy Elizabeth Kratzer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14365 Highway 16 W, De Kalb, MS 39328 Phone: 769-486-1000 |