| Ingrahm Baylark, | |
|
215 Katherine Dr Ste A, Flowood, MS 39232-9588 | |
| (601) 665-4162 | |
| (888) 398-1151 |
| Full Name | Ingrahm Baylark |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 215 Katherine Dr Ste A, Flowood, 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 |
|---|---|---|---|
| 1639842644 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ponderosa Family Care Llc | 1456548015 | 12 |
| Uppal Medical Center Llc | 4587998547 | 63 |
| Entity Name | Ponderosa Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144535626 PECOS PAC ID: 1456548015 Enrollment ID: O20101208000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Ingrahm Baylark, Po Box 4565, Tupelo, MS 38803-4565 Ph: () - | Ingrahm Baylark, 215 Katherine Dr Ste A, Flowood, MS 39232-9588 Ph: (601) 665-4162 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-932-4391 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 |