| Wayne E Grayson, MD | |
|
6941 Highway 11 Ste A, Carriere, MS 39426-7794 | |
| (601) 749-3776 | |
| (601) 749-3748 |
| Full Name | Wayne E Grayson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 53 Years |
| Location | 6941 Highway 11 Ste A, Carriere, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437169521 | NPI | - | NPPES |
| 640507572XP | Other | MS | AMERICAN ADMIN GROUP |
| 04208026 | Medicaid | MS | |
| 1589578 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 06726 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forrest General Home Care | Hattiesburg, MS | Home health agency |
| Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
| Highland Community Hospital | Picayune, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 531 |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Pearl River County Hospital & Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003026717 PECOS PAC ID: 5496704363 Enrollment ID: O20050118000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne E Grayson, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 749-3776 | Wayne E Grayson, MD 6941 Highway 11 Ste A, Carriere, MS 39426-7794 Ph: (601) 749-3776 |
Sara A Duncan, MSN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 |