| Alexandra L Bourcy-crandell, PA-C | |
|
1503 Highway 45 N, Columbus, MS 39705-2113 | |
| (662) 328-9623 | |
| Not Available |
| Full Name | Alexandra L Bourcy-crandell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1503 Highway 45 N, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902373095 | NPI | - | NPPES |
| PA00673 | Other | MS | MS MEDICAL BOARD |
| PA56628 | Other | CA | STATE OF CALIFORNIA DCA |
| Entity Name | Golden Triangle Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra L Bourcy-crandell, PA-C 29 Friar Tuck Cir, Columbus, MS 39705-3012 Ph: (585) 698-0967 | Alexandra L Bourcy-crandell, PA-C 1503 Highway 45 N, Columbus, MS 39705-2113 Ph: (662) 328-9623 |
Leah Ashley Macias, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 Fax: 662-328-1507 |
Mrs. Shannon Johnson Younger, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 724 Leigh Dr, Columbus, MS 39705 Phone: 662-328-3375 Fax: 662-328-3395 |
Bradley F. Sumrall, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 255 Baptist Blvd, Suite 401, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2289 |
Monica Faye Wolf, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 255 Baptist Blvd Ste 401, Columbus, MS 39705 Phone: 662-244-2288 |
Mrs. Aynsley Elizabeth Bailey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 670 Leigh Dr, Columbus, MS 39705 Phone: 662-328-1012 |
Mason Olivia Siddiqui, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 724 Leigh Dr, Columbus, MS 39705 Phone: 662-328-3375 Fax: 662-328-3395 |
Mrs. Lauren Rosa Dunn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 255 Baptist Blvd Ste 401, Columbus, MS 39705 Phone: 662-244-2288 Fax: 662-244-2289 |