| Mrs Misty Moore Ivy, CRNP | |
|
7203 Goodman Rd, Olive Branch, MS 38654-1906 | |
| (901) 759-2322 | |
| Not Available |
| Full Name | Mrs Misty Moore Ivy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 7203 Goodman Rd, Olive Branch, 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 |
|---|---|---|---|
| 1063465482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN11904 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R860233 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Dermatology And Skin Cancer Associates, Pllc | 2163501834 | 12 |
| Entity Name | Advanced Dermatology and Skin Cancer Associates, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265604888 PECOS PAC ID: 2163501834 Enrollment ID: O20130408000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Misty Moore Ivy, CRNP 1350 Forrest Lake Cv, Hernando, MS 38632-7500 Ph: (901) 759-2322 | Mrs Misty Moore Ivy, CRNP 7203 Goodman Rd, Olive Branch, MS 38654-1906 Ph: (901) 759-2322 |
Carolyn Wong, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4064 Sidlehill Dr, Olive Branch, MS 38654 Phone: 601-842-9006 |
Brittany Nikita Carper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6674 Goodman Rd, Olive Branch, MS 38654 Phone: 662-985-7806 |
Wanda Brown, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4240 Bethel Rd Ste 101, Olive Branch, MS 38654 Phone: 662-932-9544 Fax: 662-932-9554 |
Kori Swearengen, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9075 Sandidge Center Cv, Olive Branch, MS 38654 Phone: 662-895-4949 Fax: 662-895-6776 |
Queen Mcghee, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4250 Bethel Rd, Olive Branch, MS 38654 Phone: 662-932-9111 |
Gloria Mcgaughy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1155 Lanere Dr, Olive Branch, MS 38654 Phone: 501-772-5424 |
Tomika Washington, PMHNP-APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6914 Autumn Oaks Dr Ste A, Olive Branch, MS 38654 Phone: 662-408-4136 Fax: 662-420-7940 |