| Gavin Casey Mayo, | |
|
200 Course Drive, Suite M, Carriere, MS 39426-9037 | |
| (769) 242-3185 | |
| (769) 242-0099 |
| Full Name | Gavin Casey Mayo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 200 Course Drive, Carriere, 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 |
|---|---|---|---|
| 1902514680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905668 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mississippi Homecare Of Picayune | Picayune, MS | Home health agency |
| Highland Community Hospital | Picayune, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wound Care Associates Llc | 0840314548 | 88 |
| Wound Care Associates Llc | 0840314548 | 88 |
| Entity Name | Wound Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Casey Mayo, Po Box 1089, Hammond, LA 70404-1089 Ph: (985) 892-7070 | Gavin Casey Mayo, 200 Course Drive, Suite M, Carriere, MS 39426-9037 Ph: (769) 242-3185 |
Tammy Ruth Ferrell, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Golf Course Dr, Carriere, MS 39426 Phone: 601-699-9846 | |
Jonathan Trahan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Country Club Rd, Carriere, MS 39426 Phone: 601-799-4777 | |
Kelly Day, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Golf Course Dr Ste M, Carriere, MS 39426 Phone: 769-242-3185 Fax: 769-242-0099 | |
Mr. Andrew C Ramsdell, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Golf Course Dr, Carriere, MS 39426 Phone: 601-699-9846 | |
Krista K Hodge, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6941 Highway 11 Ste A, Carriere, MS 39426 Phone: 601-749-3714 Fax: 601-749-3776 | |
Mrs. Carolyn Ann Blythe, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79 Pink Smith Rd, Carriere, MS 39426 Phone: 601-749-3887 Fax: 601-749-3887 | |
Allyson Marie Penton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1160 E Lakeshore Dr, Carriere, MS 39426 Phone: 601-622-2423 |