| Colleen Mcmahon, | |
|
7826 Koko Pl, Diamondhead, MS 39525-3624 | |
| (228) 324-0974 | |
| Not Available |
| Full Name | Colleen Mcmahon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 7826 Koko Pl, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922559012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 901814 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Harbor Clinic Llc | 1759615693 | 7 |
| Primesource Nursing Services, Inc | 7113966037 | 5 |
| Entity Name | Primesource Nursing Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962573170 PECOS PAC ID: 7113966037 Enrollment ID: O20050429000745 |
| Entity Name | Mindful Matters |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477003028 PECOS PAC ID: 7911287305 Enrollment ID: O20161130001628 |
| Entity Name | Safe Harbor Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699242891 PECOS PAC ID: 1759615693 Enrollment ID: O20190626001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Mcmahon, 7826 Koko Pl, Diamondhead, MS 39525-3624 Ph: (228) 324-0974 | Colleen Mcmahon, 7826 Koko Pl, Diamondhead, MS 39525-3624 Ph: (228) 324-0974 |
Mr. Casey Michael Favre, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Mrs. Barbara Denise Franceski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626 | |
James W Embry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr Ste 16, Diamondhead, MS 39525 Phone: 228-364-9001 Fax: 228-364-9004 | |
Ms. Gary S. Porter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Ronald Boa Miller Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Diamondhead, MS 39525 Phone: 228-364-9001 | |
Mrs. Kerri Drake Robin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4433 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230 | |
Micah Anthony Ladner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Suite 15, Diamondhead, MS 39525 Phone: 228-364-9001 |