| Charles Ray Strange Iii, | |
|
1130 Frontage Dr W, Wiggins, MS 39577-8165 | |
| (601) 716-8012 | |
| (601) 716-8013 |
| Full Name | Charles Ray Strange Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1130 Frontage Dr W, Wiggins, 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 |
|---|---|---|---|
| 1164086716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903317 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Of The Gulf Coast Llc | 8426301607 | 25 |
| 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 | Physician Services Of The Gulf Coast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366922023 PECOS PAC ID: 8426301607 Enrollment ID: O20181106000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Ray Strange Iii, Po Box 1258, Waynesboro, TN 38485-1258 Ph: (931) 253-1110 | Charles Ray Strange Iii, 1130 Frontage Dr W, Wiggins, MS 39577-8165 Ph: (601) 716-8012 |
James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 | |
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653 | |
Dr. William Bryan Gibboney, DNP, FNP-C, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 228-436-1191 | |
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731 | |
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189 | |
Mrs. Glynnis D Randall, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193 |