| Mr Jason S Box, CRNP | |
|
1017 Jackson Ave, Leakesville, MS 39451-9105 | |
| (601) 394-2820 | |
| (601) 394-2748 |
| Full Name | Mr Jason S Box |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 1017 Jackson Ave, Leakesville, 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 |
|---|---|---|---|
| 1851448906 | NPI | - | NPPES |
| 00027266 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R875627 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Encompass Health Home Health Of Gulf Coast | Gulfport, MS | Home health agency |
| George Regional Health System | Lucedale, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greene County Family Medical Clinic | 5991867954 | 6 |
| Entity Name | Greene County Family Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689821126 PECOS PAC ID: 5991867954 Enrollment ID: O20090422000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason S Box, CRNP Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-1332 | Mr Jason S Box, CRNP 1017 Jackson Ave, Leakesville, MS 39451-9105 Ph: (601) 394-2820 |
Mr. Eric Ashley Mccraney, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1017 Jackson Ave, Leakesville, MS 39451 Phone: 601-947-1330 Fax: 601-947-1331 | |
Danielle Eubanks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 | |
Wesley Donovan Freeman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Main St, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 | |
Mrs. Kendall Shea Thornton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 | |
Caron Gibson Henderson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-5715 | |
Cynthia Winette Denmark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, Leakesville, MS 39451 Phone: 601-791-7001 Fax: 601-791-7016 | |
Mrs. Amy Malinda Lott, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1616 Williams Dr, Leakesville, MS 39451 Phone: 601-394-2381 Fax: 601-394-2593 |