| Mrs Brynna Korin Burnsed, PA | |
|
54 Sgt Prentiss Dr, Natchez, MS 39120-4726 | |
| (601) 443-2100 | |
| Not Available |
| Full Name | Mrs Brynna Korin Burnsed |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 54 Sgt Prentiss Dr, Natchez, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053695668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.780 (Alabama) | Secondary |
| 363A00000X | Physician Assistant | PA00286 (Mississippi) | Primary |
| Entity Name | Singing River Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083893937 PECOS PAC ID: 3870405194 Enrollment ID: O20031104000435 |
| Entity Name | App of Mississippi Ed LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Natchez HB Medical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770264459 PECOS PAC ID: 8921461286 Enrollment ID: O20230905000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brynna Korin Burnsed, PA 3535 Bienville Blvd, Regional Cancer Center, Ocean Springs, MS 39564-5705 Ph: (228) 809-5251 | Mrs Brynna Korin Burnsed, PA 54 Sgt Prentiss Dr, Natchez, MS 39120-4726 Ph: (601) 443-2100 |
Mr. Stacy Wayne Dennis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 46 Sgt Prentiss Dr, Suite 103, Natchez, MS 39120 Phone: 601-442-9654 Fax: 601-442-9790 |