| Krista K Hodge, FNP | |
|
6941 Highway 11 Ste A, Carriere, MS 39426-7794 | |
| (601) 749-3714 | |
| (601) 749-3776 |
| Full Name | Krista K Hodge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 6941 Highway 11 Ste A, Carriere, 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 |
|---|---|---|---|
| 1487639019 | NPI | - | NPPES |
| 00119083 | Medicaid | MS | |
| 1568139 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 767181 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R767181 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Segue Health Of Mississippi Llc | 2769757897 | 20 |
| Entity Name | Segue Health Of Mississippi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467989954 PECOS PAC ID: 2769757897 Enrollment ID: O20170929000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista K Hodge, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 749-3714 | Krista K Hodge, FNP 6941 Highway 11 Ste A, Carriere, MS 39426-7794 Ph: (601) 749-3714 |
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 | |
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 |