Mr Alvin T Ricks Jr, APRN,BC | |
210 Hospital Cir, Choctaw, MS 39350-6781 | |
(601) 656-2211 | |
(601) 389-6391 |
Full Name | Mr Alvin T Ricks Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 210 Hospital Cir, Choctaw, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225106701 | NPI | - | NPPES |
05784539 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R801797 (Mississippi) | Primary |
Entity Name | Mississippi Band Of Choctaw Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871 |
Mailing Address | Practice Location Address |
---|---|
Mr Alvin T Ricks Jr, APRN,BC 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 | Mr Alvin T Ricks Jr, APRN,BC 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 |
Linda Murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 | |
Mrs. Karen Louise Miller, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4315 | |
Lasteffia J Todd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 | |
Ms. Shannon Victoria Johnson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4420 | |
Lucky Ehimuohu Areghan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Choctaw Health Center, 210 Hospital Circle, Choctaw, MS 39350 Phone: 601-389-4463 Fax: 601-389-4462 | |
Ms. Adrienne Nicole Sisson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4500 Fax: 601-389-4462 |