| Mrs Breanna Renee Bray, NP | |
|
12 Brooks Xing, Pontotoc, MS 38863-1009 | |
| (662) 489-4044 | |
| (662) 489-4041 |
| Full Name | Mrs Breanna Renee Bray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 12 Brooks Xing, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205442746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 904511 (Mississippi) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Redmed Llc | 2961633656 | 54 |
| Entity Name | Physicians Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316059405 PECOS PAC ID: 5991832081 Enrollment ID: O20100421000688 |
| Entity Name | Redmed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Breanna Renee Bray, NP 12 Brooks Xing, Pontotoc, MS 38863-1009 Ph: (662) 489-4044 | Mrs Breanna Renee Bray, NP 12 Brooks Xing, Pontotoc, MS 38863-1009 Ph: (662) 489-4044 |
Timothy R Watson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Acute Care And Family Clininc 351 Peoples Dr, 351 Peoples Dr, Pontotoc, MS 38863 Phone: 662-489-2777 |
Mrs. Cynthia Nicole Tindall, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 Fax: 662-509-9935 |
Flora E Stephens, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Peoples Dr # A, Pontotoc, MS 38863 Phone: 662-489-7777 Fax: 662-489-0065 |
Shonve Ball, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 166 Rough Wood Dr, Pontotoc, MS 38863 Phone: 662-509-0180 |
Regan Watson Moore, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 |
Teirra Wynn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Highway 15 S, Pontotoc, MS 38863 Phone: 662-509-9934 |
Mrs. Erin Danielle Grady, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brookes Xing, Pontotoc, MS 38863 Phone: 662-489-4044 |