| Grace P Ford, FNP-BC | |
|
302 Highway 11 S, Poplarville, MS 39470-2625 | |
| (601) 403-8283 | |
| (601) 403-8283 |
| Full Name | Grace P Ford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 302 Highway 11 S, Poplarville, 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 |
|---|---|---|---|
| 1376815134 | NPI | - | NPPES |
| 12346339 | Other | MS | CAQH |
| 9858831 | Other | MS | AETNA |
| 07509343 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 875721 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Garden Park Medical Center | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Entity Name | Pearl River County Hospital & Nursing Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003026717 PECOS PAC ID: 5496704363 Enrollment ID: O20050118000715 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace P Ford, FNP-BC 305 W Moody St, Poplarville, MS 39470-7338 Ph: (601) 795-4543 | Grace P Ford, FNP-BC 302 Highway 11 S, Poplarville, MS 39470-2625 Ph: (601) 403-8283 |
Mr. Martin Wayne Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 46 Joe Reyer Rd, Poplarville, MS 39470 Phone: 601-215-6374 | |
Kimberly Philyaw, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 290 Et Poole Rd, Poplarville, MS 39470 Phone: 601-337-0775 | |
Sheila Diane Bullock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Moody St, Poplarville, MS 39470 Phone: 601-795-4543 | |
Mary Edith Denius, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6230 Highway 53, Poplarville, MS 39470 Phone: 601-408-0916 | |
Mrs. Christina L Meador, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 | |
Laurie Cabral, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1222 S Main St, Poplarville, MS 39470 Phone: 601-795-9320 Fax: 601-795-9876 |