| Cassala Ward, MSN, RN, FNP-C | |
|
401 S Church St, Charleston, MS 38921-2257 | |
| (662) 647-5816 | |
| Not Available |
| Full Name | Cassala Ward |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 401 S Church St, Charleston, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134596919 | NPI | - | NPPES |
| 06382561 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R858468 (Mississippi) | Primary |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Yazoo Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447806914 PECOS PAC ID: 0749511574 Enrollment ID: O20191009002380 |
| Entity Name | Grenada Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
| Entity Name | Truhealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20200923002569 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassala Ward, MSN, RN, FNP-C Po Box 27, Charleston, MS 38921-0027 Ph: (662) 647-5816 | Cassala Ward, MSN, RN, FNP-C 401 S Church St, Charleston, MS 38921-2257 Ph: (662) 647-5816 |
Kelsey Marter Faulkner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Dr Tt Lewis Cir, Charleston, MS 38921 Phone: 662-647-5816 | |
Jessica Elizabeth Mcgee, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 | |
Raedena Lancaster Hill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 | |
Audrey Leann Williamson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 Fax: 662-647-5705 | |
Mrs. Shana Belle Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 S Church St, Charleston, MS 38921 Phone: 662-647-5816 Fax: 662-647-5705 |