| Mr Timothy Scott Enfinger, NP | |
|
1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 | |
| (228) 300-1967 | |
| Not Available |
| Full Name | Mr Timothy Scott Enfinger |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1400 Magnolia Bluff Dr, Gautier, 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 |
|---|---|---|---|
| 1538868955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 905408 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lewisgale Medical Center | Salem, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Spring Physician Services, Llc | 1254689482 | 43 |
| Entity Name | Lake Spring Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568954287 PECOS PAC ID: 1254689482 Enrollment ID: O20180806000449 |
| Entity Name | Kingsford Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871088526 PECOS PAC ID: 0840541017 Enrollment ID: O20180927000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Scott Enfinger, NP 1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 Ph: (228) 300-1967 | Mr Timothy Scott Enfinger, NP 1400 Magnolia Bluff Dr, Gautier, MS 39553-1901 Ph: (228) 300-1967 |
Denise D Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 | |
Mr. James Nathan Payne, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5090 Gautier Vancleave Rd, Gautier, MS 39553 Phone: 228-522-6700 Fax: 228-522-3383 | |
Meagan Kristin Cross, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 | |
Natwassie Truly, FNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 Highway 90 Ste 6, Gautier, MS 39553 Phone: 228-471-5217 Fax: 228-471-5217 | |
Julie T Trice, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
Mrs. Sarah K Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7700 Fax: 228-205-7715 | |
William Wyatt Moore, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-9123 Fax: 228-497-0647 |