Mrs Carolyn Ann Schrader, NP | |
409 Willis Street, Suite 2, Taylorsville, MS 39168 | |
(601) 785-9580 | |
(601) 785-9910 |
Full Name | Mrs Carolyn Ann Schrader |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 409 Willis Street, Suite 2, Taylorsville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912015298 | NPI | - | NPPES |
07384513 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R716324 (Mississippi) | Primary |
Entity Name | Family Health Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488357 PECOS PAC ID: 9638163348 Enrollment ID: O20040414000267 |
Mailing Address | Practice Location Address |
---|---|
Mrs Carolyn Ann Schrader, NP P.o. Box 4361, Laurel, MS 39441-4361 Ph: (601) 425-3033 | Mrs Carolyn Ann Schrader, NP 409 Willis Street, Suite 2, Taylorsville, MS 39168 Ph: (601) 785-9580 |
Ms. Sharon L Scruggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 601-785-6881 | |
Lawanda Nicole Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Ms-23, Taylorsville, MS 39168 Phone: 601-785-9580 | |
Patricia Bullock, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-452-7080 Fax: 601-452-7083 | |
Mr. Mark Waylon Scruggs, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 866-404-2914 |