Mary Gwindolyn Allen, is a
Physician Assistant based in Potts Camp, Mississippi. Mary Gwindolyn Allen is licensed to practice in * (Not Available) (license number ) and her current practice location is
130 E Saint Mary Ave, Potts Camp, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 544-1834.
NPI number for Mary Gwindolyn Allen is 1053044685 and her current mailing address is 130 E Saint Mary Ave, Potts Camp, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053044685.
Provider's Profile
| Full Name | Mary Gwindolyn Allen |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 130 E Saint Mary Ave, Potts Camp, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053044685
- Provider Enumeration Date: 07/01/2022
- Last Update Date: 07/01/2022
Medical Identifiers
Medical identifiers for Mary Gwindolyn Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053044685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Gwindolyn Allen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mary Gwindolyn Allen,
130 E Saint Mary Ave,
Potts Camp, MS 38659-4400
Ph: (662) 544-1834 | Mary Gwindolyn Allen,
130 E Saint Mary Ave,
Potts Camp, MS 38659-4400
Ph: (662) 544-1834 |
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