| Laura K Tanksley, NP | |
|
1040 Gluckstadt Rd Ste B, Gluckstadt, MS 39110-7228 | |
| (601) 605-0452 | |
| Not Available |
| Full Name | Laura K Tanksley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1040 Gluckstadt Rd Ste B, Gluckstadt, 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 |
|---|---|---|---|
| 1104689587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 906373 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health River Oaks | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mississippi Hma Hospitalists Llc | 5991972077 | 38 |
| Entity Name | Mississippi Hma Hospitalists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154608883 PECOS PAC ID: 5991972077 Enrollment ID: O20120112000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura K Tanksley, NP 1040 Gluckstadt Rd Ste B, Gluckstadt, MS 39110-7228 Ph: (601) 605-0452 | Laura K Tanksley, NP 1040 Gluckstadt Rd Ste B, Gluckstadt, MS 39110-7228 Ph: (601) 605-0452 |
Clarence D Hayes, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 First Colony Blvd, Gluckstadt, MS 39110 Phone: 601-807-1624 | |
Bryce Hughes, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Lexington Dr, Gluckstadt, MS 39110 Phone: 601-707-3771 | |
Avery Nash, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Lexington Dr Ste A, Gluckstadt, MS 39110 Phone: 601-707-3771 Fax: 601-707-3751 |