Krista K Hodge, FNP | |
6941 Highway 11 Ste A, Carriere, MS 39426-7794 | |
(601) 749-3714 | |
(601) 749-3776 |
Full Name | Krista K Hodge |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6941 Highway 11 Ste A, 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 |
---|---|---|---|
1487639019 | NPI | - | NPPES |
00119083 | Medicaid | MS | |
1568139 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 767181 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | R767181 (Mississippi) | Primary |
Entity Name | Landmark Medical Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396498143 PECOS PAC ID: 8527453851 Enrollment ID: O20220323000117 |
Mailing Address | Practice Location Address |
---|---|
Krista K Hodge, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 749-3714 | Krista K Hodge, FNP 6941 Highway 11 Ste A, Carriere, MS 39426-7794 Ph: (601) 749-3714 |
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 | |
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 |