| Mary Brett Miller, NP | |
|
401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 | |
| (662) 245-5270 | |
| (662) 351-9471 |
| Full Name | Mary Brett Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 401 Southcrest Cir Ste 212, Southaven, 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 |
|---|---|---|---|
| 1093774267 | NPI | - | NPPES |
| 00126816 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R855665 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Clay County Medical Corporation | West point, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Of Mississippi Llc | 3678887700 | 18 |
| Ch Mssp Services Ms Llc | 7911441126 | 17 |
| Entity Name | Golden Triangle Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346592045 PECOS PAC ID: 7315197498 Enrollment ID: O20121025000818 |
| Entity Name | Curana Health Of Mississippi Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013395615 PECOS PAC ID: 3678887700 Enrollment ID: O20150804003642 |
| Entity Name | Wound Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
| Entity Name | Ch Mssp Services Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194565051 PECOS PAC ID: 7911441126 Enrollment ID: O20240628001791 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Brett Miller, NP Po Box 1089, Hammond, LA 70404-1089 Ph: (985) 892-7070 | Mary Brett Miller, NP 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 Ph: (662) 245-5270 |
Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7111 Southcrest Pkwy Ste 109, Southaven, MS 38671 Phone: 662-503-7416 Fax: 662-349-9082 | |
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112 | |
Penny Marie Holley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457 | |
Christopher Gully, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458 | |
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7545 Airways Blvd, Southaven, MS 38671 Phone: 901-759-3100 | |
Misty Burton, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659 | |
Mrs. Karen Kamillah Purnell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Chestnut Dr, Southaven, MS 38671 Phone: 662-897-8973 |