Jason Michael Butler, NP | |
129 Center St Ste B, Richland, MS 39218-4800 | |
(769) 233-7141 | |
Not Available |
Full Name | Jason Michael Butler |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 129 Center St Ste B, Richland, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417467168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 902078 (Mississippi) | Primary |
363LG0600X | Nurse Practitioner - Gerontology | 902078 (Mississippi) | Secondary |
Entity Name | Southern Medical Consultants Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043 |
Entity Name | Community Care Health Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
Mailing Address | Practice Location Address |
---|---|
Jason Michael Butler, NP 314 Cypress Creek Rd, Brandon, MS 39047-7989 Ph: (601) 421-1128 | Jason Michael Butler, NP 129 Center St Ste B, Richland, MS 39218-4800 Ph: (769) 233-7141 |
Donald J Garrett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437 | |
Laquana Daniels, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Rhemann Blvd, Richland, MS 39218 Phone: 601-248-5198 | |
Denisa Broome Wilson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 907 Us 49, Richland, MS 39218 Phone: 601-374-5263 | |
Mr. James A Marx, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Highway 49 S, Suite 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-932-6437 | |
Ashley Smith Allen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 Phone: 769-233-7141 | |
Linda Nell Hunter, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Highway 49 S Ste 4, Richland, MS 39218 Phone: 601-932-6400 Fax: 601-664-0006 |