| Kathryn Grace Taylor, MD | |
|
1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 | |
| (601) 829-2939 | |
| (601) 829-2995 |
| Full Name | Kathryn Grace Taylor |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1220 N Shore Pkwy, Brandon, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235339516 | NPI | - | NPPES |
| 06400753 | Medicaid | MS | |
| P00622806 | Other | MS | RAILROAD MEDICARE PTAN |
| 512I080155 | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20018 (Mississippi) | Primary |
| Entity Name | MS State Department of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Grace Taylor, MD 1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 Ph: (601) 829-2939 | Kathryn Grace Taylor, MD 1220 N Shore Pkwy, Suite 6, Brandon, MS 39047-6383 Ph: (601) 829-2939 |
Charvi Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1887 Spillway Rd, Brandon, MS 39047 Phone: 601-992-5532 Fax: 601-992-5547 |
Robert Allen Sheely, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 N Shore Pkwy Ste A, Brandon, MS 39047 Phone: 601-829-2939 Fax: 601-829-2995 |
Delecia Carter, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-3163 |
Dr. Meseret Teferra, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 W Government St, Brandon, MS 39042 Phone: 601-825-7280 Fax: 601-825-8130 |
Dr. Richard C Randolph, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 348 Crossgates Blvd, Suite 2200, Brandon, MS 39042 Phone: 601-825-2466 Fax: 601-824-8137 |
Amy Hollman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Lakeland Pl, Brandon, MS 39047 Phone: 601-992-2200 Fax: 601-992-4333 |
Dr. Marc Hellrung, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1297 W Government St, Brandon, MS 39042 Phone: 601-200-4790 Fax: 601-200-5929 |