| Karen Plunkett, M.d.pc | |
|
1300 Sunset Dr Ste O Grenada MS 38901-4086 | |
| (662) 227-0998 | |
| (662) 227-0984 |
| Full Name | Karen Plunkett, M.d.pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1300 Sunset Dr Ste O, Grenada, Mississippi |
| Authorized Official Name and Position | Karen Plunkett (OWNER) |
| Authorized Official Contact | 6622270998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Plunkett, M.d.pc 1300 Sunset Dr Ste O Grenada MS 38901-4086 Ph: (662) 227-0998 | Karen Plunkett, M.d.pc 1300 Sunset Dr Ste O Grenada MS 38901-4086 Ph: (662) 227-0998 |
| NPI Number | 1982803128 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 08/06/2007 |
| Medicare PECOS PAC ID | 5890765994 |
|---|---|
| Medicare Enrollment ID | O20040727001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982803128 | NPI | - | NPPES |
| 04570579 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 13906 (Mississippi) | Primary |
| Provider Name | Karen W Plunkett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902919756 PECOS PAC ID: 5597735696 Enrollment ID: I20040728000578 |
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