| Lori Martin Case, FAMILY NP | |
|
533 Lake St, Hazlehurst, MS 39083-2217 | |
| (601) 552-5253 | |
| Not Available |
| Full Name | Lori Martin Case |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 533 Lake St, Hazlehurst, 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 |
|---|---|---|---|
| 1568113983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905104 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wound Management Specialists Llc | 5193056364 | 123 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Healthcare Plus Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20180404001439 |
| Entity Name | Wound Management Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Martin Case, FAMILY NP 1954 Highway 550 Nw, Brookhaven, MS 39601 Ph: (601) 832-5349 | Lori Martin Case, FAMILY NP 533 Lake St, Hazlehurst, MS 39083-2217 Ph: (601) 552-5253 |
Lauren Coleman Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4661 | |
Brittney Marie Peyton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 529 Lake St Ste B, Hazlehurst, MS 39083 Phone: 601-623-9245 Fax: 601-623-9246 | |
William Alton Shaw, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4661 | |
Christopher J Price, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 213 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-4661 |