Mr Timothy Scott Enfinger, NP | |
1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 | |
(228) 300-1967 | |
Not Available |
Full Name | Mr Timothy Scott Enfinger |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Acute Care |
Location | 1400 Magnolia Bluff Dr, Gautier, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538868955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 905408 (Mississippi) | Primary |
Entity Name | Valley Area Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508252685 PECOS PAC ID: 1658672530 Enrollment ID: O20151217002463 |
Mailing Address | Practice Location Address |
---|---|
Mr Timothy Scott Enfinger, NP 1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 Ph: (228) 300-1967 | Mr Timothy Scott Enfinger, NP 1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 Ph: (228) 300-1967 |
Denise D Jones, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 | |
Mr. James Nathan Payne, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5090 Gautier Vancleave Rd, Gautier, MS 39553 Phone: 228-522-6700 Fax: 228-522-3383 | |
Meagan Kristin Cross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 | |
Julie T Trice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Mrs. Sarah K Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7700 Fax: 228-205-7715 | |
William Wyatt Moore, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-9123 Fax: 228-497-0647 | |
Melinda Marie Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 |