| Kelsey Womack, | |
|
1424 E Main St, Tupelo, MS 38804-2956 | |
| (662) 350-3550 | |
| Not Available |
| Full Name | Kelsey Womack |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1424 E Main St, Tupelo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679037279 | NPI | - | NPPES |
| 903154 | Other | MS | NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 903154 (Mississippi) | Primary |
| Entity Name | East Main Family Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285072058 PECOS PAC ID: 5092943290 Enrollment ID: O20140115001341 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Womack, 1424 E Main St, Tupelo, MS 38804-2956 Ph: (662) 350-3550 | Kelsey Womack, 1424 E Main St, Tupelo, MS 38804-2956 Ph: (662) 350-3550 |
Mr. Aaron Ashley Amos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Gloster St # 123, Tupelo, MS 38804 Phone: 407-508-8618 | |
Terry Ray Perrine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263 | |
Joannie Franklin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-844-9376 Fax: 662-844-4326 | |
John Edward Hill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263 | |
Dr. Benjamin Gilliland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-407-2528 | |
Raines Atherton Chaffin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 County Road 1698, Tupelo, MS 33804 Phone: 501-454-1960 | |
Dr. Ashley Wayne Harris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930 |