Mrs Kathryn Claire Pruitt, APN | |
111 Chase St, Byhalia, MS 38611 | |
(502) 810-4164 | |
Not Available |
Full Name | Mrs Kathryn Claire Pruitt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 28 Years |
Location | 111 Chase St, Byhalia, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679577555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19930 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 895684 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Baptist Memorial Hospital | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
Entity Name | Memphis Urgent Care #2 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912565326 PECOS PAC ID: 0648407023 Enrollment ID: O20210301002025 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathryn Claire Pruitt, APN 8820 Turkey Creek Dr, Olive Branch, MS 38654-8096 Ph: (502) 810-4164 | Mrs Kathryn Claire Pruitt, APN 111 Chase St, Byhalia, MS 38611 Ph: (502) 810-4164 |
Nikisha Newsom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Dr. Brittney Boyd, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Highway 309 S, Byhalia, MS 38611 Phone: 662-838-5565 Fax: 662-838-4470 | |
Darlene Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Allyson Gene Cv, Byhalia, MS 38611 Phone: 901-289-7903 | |
Ashley M Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Chassity W Greer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Hannah Losapio, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8062 Highway 178, Byhalia, MS 38611 Phone: 662-333-8102 Fax: 662-333-8101 | |
Joseph Tubbs, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 131 Highway 309 S, Byhalia, MS 38611 Phone: 662-838-5565 |