| Mr Mark Waylon Scruggs, FNP-C | |
|
336 Eureka Street, Taylorsville, MS 39168-0291 | |
| (601) 785-4322 | |
| (866) 404-2914 |
| Full Name | Mr Mark Waylon Scruggs |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 336 Eureka Street, Taylorsville, 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 |
|---|---|---|---|
| 1851113252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 906998 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Off Main Street Medical Pllc | 6103146527 | 2 |
| Entity Name | Off Main Street Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023408614 PECOS PAC ID: 6103146527 Enrollment ID: O20150526001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Waylon Scruggs, FNP-C Po Box 291, Taylorsville, MS 39168-0291 Ph: (601) 785-4322 | Mr Mark Waylon Scruggs, FNP-C 336 Eureka Street, Taylorsville, MS 39168-0291 Ph: (601) 785-4322 |
Ms. Sharon L Scruggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 601-785-6881 | |
Lawanda Nicole Ellis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 531 Ms-23, Taylorsville, MS 39168 Phone: 601-785-9580 | |
Patricia Bullock, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-452-7080 Fax: 601-452-7083 | |
Mrs. Carolyn Ann Schrader, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Willis Street, Suite 2, Taylorsville, MS 39168 Phone: 601-785-9580 Fax: 601-785-9910 |