Ms Susan E Gentry, FNP | |
44 Brooklyn Janice Rd, Brooklyn, MS 39425-9731 | |
(601) 582-1188 | |
(601) 582-8844 |
Full Name | Ms Susan E Gentry |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 17 Years |
Location | 44 Brooklyn Janice Rd, Brooklyn, 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 |
---|---|---|---|
1952575193 | NPI | - | NPPES |
06335619 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R852221 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Mississippi Rural Health Initiative, Inc | 2466342605 | 29 |
Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan E Gentry, FNP Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Ms Susan E Gentry, FNP 44 Brooklyn Janice Rd, Brooklyn, MS 39425-9731 Ph: (601) 582-1188 |
Jennifer Miranda Summers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 Fax: 601-582-8844 | |
Kaylora L Bingham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 Fax: 601-582-8844 | |
Charles F Diamond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 |