Paige Sparks, | |
5482 Ms-15, Ecru, MS 38841 | |
(662) 488-8799 | |
Not Available |
Full Name | Paige Sparks |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5482 Ms-15, Ecru, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669170262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905800 (Mississippi) | Primary |
Entity Name | Redmed, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
Mailing Address | Practice Location Address |
---|---|
Paige Sparks, 5482 Ms-15, Ecru, MS 38841 Ph: () - | Paige Sparks, 5482 Ms-15, Ecru, MS 38841 Ph: (662) 488-8799 |
Tracey Michelle Foreman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 | |
Allison Miller Bailey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7618 Hwy 15 North, Ecru, MS 38841 Phone: 662-489-6522 Fax: 662-234-4749 | |
Sabrina Davidson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 Fax: 662-488-8729 | |
Megan Springer Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Jennifer Chism Bolen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799 | |
Katie Antle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 |