| Kristen Thames, FNP-C | |
|
11115 Hill Thompson Rd, Collinsville, MS 39325-9313 | |
| (601) 678-1065 | |
| Not Available |
| Full Name | Kristen Thames |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 11115 Hill Thompson Rd, Collinsville, 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 |
|---|---|---|---|
| 1407493596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 903686 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 903686 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Laird Hospital Inc | Union, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Health Center Inc | 1355366113 | 8 |
| Positive Innergy Counseling Services Llc | 6204298367 | 9 |
| Laird Hospital, Inc. | 7214991769 | 26 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Laird Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821046798 PECOS PAC ID: 7214991769 Enrollment ID: O20050201000304 |
| Entity Name | Alliance Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679850150 PECOS PAC ID: 1355366113 Enrollment ID: O20051011000303 |
| Entity Name | Scott Regional Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
| Entity Name | Holistic Health With Kelly Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245806041 PECOS PAC ID: 1850797846 Enrollment ID: O20210830002828 |
| Entity Name | Positive Innergy Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003432626 PECOS PAC ID: 6204298367 Enrollment ID: O20230823003145 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Thames, FNP-C 11115 Hill Thompson Rd, Collinsville, MS 39325-9313 Ph: (601) 678-1065 | Kristen Thames, FNP-C 11115 Hill Thompson Rd, Collinsville, MS 39325-9313 Ph: (601) 678-1065 |
Gloria J. Jackson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9097 Collinsville Rd, Collinsville, MS 39325 Phone: 601-626-8874 Fax: 601-626-8592 | |
Laura Renea Hardy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9097 Collinsville Rd, Collinsville, MS 39325 Phone: 601-626-8874 |