| Ms Amanda Nicole Hanson, NP-C | |
|
6510 Highway 90 Ste A, Gautier, MS 39553-5015 | |
| (228) 822-6148 | |
| Not Available |
| Full Name | Ms Amanda Nicole Hanson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6510 Highway 90 Ste A, Gautier, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619214541 | NPI | - | NPPES |
| 087588233 | Medicaid | MS | |
| 385845YSCQ | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R875468 (Mississippi) | Primary |
| Entity Name | Coastal Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629066782 PECOS PAC ID: 8628989654 Enrollment ID: O20040108000698 |
| Entity Name | Physicians Care Plaza, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316137300 PECOS PAC ID: 2163459603 Enrollment ID: O20050726000846 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Amanda Nicole Hanson, NP-C 6510 Highway 90 Ste A, Gautier, MS 39553-5015 Ph: (228) 822-6148 | Ms Amanda Nicole Hanson, NP-C 6510 Highway 90 Ste A, Gautier, MS 39553-5015 Ph: (228) 822-6148 |
Mr. James Nathan Payne, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5090 Gautier Vancleave Rd, Gautier, MS 39553 Phone: 228-522-6700 Fax: 228-522-3383 | |
Meagan Trehern, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 | |
Julie T Trice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Mrs. Sarah K Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7700 Fax: 228-205-7715 | |
William Wyatt Moore, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-9123 Fax: 228-497-0647 | |
Melinda Marie Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 | |
Amanda Ann Campbell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 |