Mr Casey Michael Favre, NP-C | |
4540 B Shepherds Squard, Diamondhead, MS 39525 | |
(228) 255-8216 | |
(228) 255-8219 |
Full Name | Mr Casey Michael Favre |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 4540 B Shepherds Squard, Diamondhead, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073806246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R875413 (Mississippi) | Primary |
363LA2100X | Nurse Practitioner - Acute Care | R875413 (Mississippi) | Secondary |
Entity Name | Hancock Medical Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346559689 PECOS PAC ID: 8527256676 Enrollment ID: O20101216000447 |
Entity Name | Ochsner Mississippi, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
Mailing Address | Practice Location Address |
---|---|
Mr Casey Michael Favre, NP-C 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 Ph: (228) 467-8600 | Mr Casey Michael Favre, NP-C 4540 B Shepherds Squard, Diamondhead, MS 39525 Ph: (228) 255-8216 |
Mrs. Barbara Denise Franceski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626 | |
James W Embry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr Ste 16, Diamondhead, MS 39525 Phone: 228-364-9001 Fax: 228-364-9004 | |
Ms. Gary S. Porter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Ronald Boa Miller Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Diamondhead, MS 39525 Phone: 228-364-9001 | |
Mrs. Kerri Drake Robin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4433 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230 | |
Micah Anthony Ladner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Suite 15, Diamondhead, MS 39525 Phone: 228-364-9001 |