| Mr Casey Michael Favre, NP-C | |
|
4540 B Shepherds Squard, Diamondhead, MS 39525 | |
| (228) 255-8216 | |
| (228) 255-8219 |
| Full Name | Mr Casey Michael Favre |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 4540 B Shepherds Squard, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073806246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R875413 (Mississippi) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | R875413 (Mississippi) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hancock Emergency Group Llc | 8022237015 | 21 |
| Entity Name | Ochsner Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538674239 PECOS PAC ID: 0143580993 Enrollment ID: O20180216000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Casey Michael Favre, NP-C 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 Ph: (228) 467-8600 | Mr Casey Michael Favre, NP-C 4540 B Shepherds Squard, Diamondhead, MS 39525 Ph: (228) 255-8216 |
Mrs. Barbara Denise Franceski, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-4300 Fax: 228-255-3626 | |
James W Embry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr Ste 16, Diamondhead, MS 39525 Phone: 228-364-9001 Fax: 228-364-9004 | |
Ms. Gary S. Porter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 B Shepherds Squard, Diamondhead, MS 39525 Phone: 228-255-8216 Fax: 228-255-8219 | |
Ronald Boa Miller Jr., N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Diamondhead, MS 39525 Phone: 228-364-9001 | |
Mrs. Kerri Drake Robin, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4433 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-586-9229 Fax: 228-586-9230 | |
Micah Anthony Ladner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4402 E Aloha Dr, Suite 15, Diamondhead, MS 39525 Phone: 228-364-9001 |