| Miss Gerri Mack, FNP-C | |
|
110 E Railroad St, Long Beach, MS 39560-4625 | |
| (228) 678-7036 | |
| (228) 678-7038 |
| Full Name | Miss Gerri Mack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 110 E Railroad St, Long Beach, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245014042 | NPI | - | NPPES |
| 229709 | Other | LA | APRN |
| 905829 | Other | MS | MSBON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 229709 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | 905829 (Mississippi) | Primary |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Gerri Mack, FNP-C 110 E Railroad St, Long Beach, MS 39560-4625 Ph: (228) 678-7036 | Miss Gerri Mack, FNP-C 110 E Railroad St, Long Beach, MS 39560-4625 Ph: (228) 678-7036 |
Ashley Nicole Perry, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5120 Beatline Rd, Long Beach, MS 39560 Phone: 228-868-4287 | |
Nicole Victoria Shioli Baxter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 E Railroad St, Long Beach, MS 39560 Phone: 228-678-7036 | |
Mrs. Shannon Kathryn Gilmer, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4013 Beatline Rd Ste A, Long Beach, MS 39560 Phone: 228-200-0720 | |
Yalayna Green, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 110 E Railroad St, Long Beach, MS 39560 Phone: 228-678-7036 | |
Ms. Trenita Lashawn Moore, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Railroad St, Long Beach, MS 39560 Phone: 228-864-0622 Fax: 228-864-7958 | |
Mrs. Stephanie Ladner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 N Cleveland Ave, Long Beach, MS 39560 Phone: 228-220-5200 |