| Mr Martin Wayne Carr, FNP | |
|
46 Joe Reyer Rd, Poplarville, MS 39470-6400 | |
| (601) 215-6374 | |
| Not Available |
| Full Name | Mr Martin Wayne Carr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 18 Years |
| Location | 46 Joe Reyer Rd, Poplarville, 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 |
|---|---|---|---|
| 1073716825 | NPI | - | NPPES |
| 2813712 | Other | MS | UHC |
| 04438724 | Medicaid | MS | |
| 1026522 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R860912 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R860912 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franklin County Memorial Hospital | Meadville, MS | Hospital |
| Scott Regional Hospital Cah | Morton, MS | Hospital |
| Covington County Hospital Cah | Collins, MS | Hospital |
| Rush Foundation Hospital | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott Regional Medical Center, Inc | 0648366260 | 12 |
| Franklin County Memorial Hospital | 2466355243 | 33 |
| Bonita Emergency Group Llc | 3870933278 | 21 |
| Entity Name | Franklin County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669705612 PECOS PAC ID: 2466355243 Enrollment ID: O20040129000396 |
| Entity Name | Scott Regional Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639367188 PECOS PAC ID: 0648366260 Enrollment ID: O20080423000448 |
| Entity Name | Kemper Cah, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346546306 PECOS PAC ID: 5991985012 Enrollment ID: O20110622000294 |
| Entity Name | Bonita Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992563969 PECOS PAC ID: 3870933278 Enrollment ID: O20240502001459 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Martin Wayne Carr, FNP 46 Joe Reyer Rd, Poplarville, MS 39470-6400 Ph: (601) 215-6374 | Mr Martin Wayne Carr, FNP 46 Joe Reyer Rd, Poplarville, MS 39470-6400 Ph: (601) 215-6374 |
Kimberly Philyaw, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 290 Et Poole Rd, Poplarville, MS 39470 Phone: 601-337-0775 | |
Sheila Diane Bullock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Moody St, Poplarville, MS 39470 Phone: 601-795-4543 | |
Grace P Ford, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Highway 11 S, Poplarville, MS 39470 Phone: 601-403-8283 Fax: 601-403-8283 | |
Mary Edith Denius, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6230 Highway 53, Poplarville, MS 39470 Phone: 601-408-0916 | |
Mrs. Christina L Meador, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1407 S Main St, Poplarville, MS 39470 Phone: 601-795-0659 Fax: 601-795-8639 | |
Laurie Cabral, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1222 S Main St, Poplarville, MS 39470 Phone: 601-795-9320 Fax: 601-795-9876 |