Tacy Grant, FNP-C | |
60011 Stratford Dr, Smithville, MS 38870-9786 | |
(205) 712-6504 | |
Not Available |
Full Name | Tacy Grant |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 60011 Stratford Dr, Smithville, 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 |
---|---|---|---|
1396306957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 903441 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Golden Triangle Inc | Columbus, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
P And S Clinic Ob-gyn Pllc | 5890896252 | 13 |
Dutch Medical Clinics, Inc | 9234376088 | 18 |
Entity Name | P & S Clinic Ob-gyn Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538215546 PECOS PAC ID: 5890896252 Enrollment ID: O20070730000234 |
Entity Name | Dutch Medical Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20130515000064 |
Mailing Address | Practice Location Address |
---|---|
Tacy Grant, FNP-C 60011 Stratford Dr, Smithville, MS 38870-9786 Ph: (205) 712-6504 | Tacy Grant, FNP-C 60011 Stratford Dr, Smithville, MS 38870-9786 Ph: (205) 712-6504 |
Jamesha Tumblin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60021 Monroe St, Smithville, MS 38870 Phone: 662-651-4637 | |
Mrs. Alisha Marie Parham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60021 Monroe St, Smithville, MS 38870 Phone: 662-651-4637 | |
Ms. Rebecca Cagle, A.P.R.N., B.C. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 63420 Highway 25 N, Smithville, MS 38870 Phone: 662-651-4637 Fax: 662-651-4636 | |
Mrs. Whitney Johnson Carroll, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60021 Monroe St, Smithville, MS 38870 Phone: 662-651-4637 Fax: 662-651-4636 | |
Mrs. Kathryn Claire Wright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60021 Monroe St, Smithville, MS 38870 Phone: 662-651-4637 Fax: 662-651-4658 |