| Mrs Kathryn Claire Pruitt, APN | |
|
111 Chase St, Byhalia, MS 38611 | |
| (502) 810-4164 | |
| Not Available |
| Full Name | Mrs Kathryn Claire Pruitt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 111 Chase St, Byhalia, 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 |
|---|---|---|---|
| 1679577555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19930 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 895684 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Memorial Medical Group, Inc. | 5193610228 | 468 |
| Baptist Memorial Medical Group, Inc. | 5193610228 | 468 |
| Entity Name | Baptist Memorial Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Claire Pruitt, APN 8820 Turkey Creek Dr, Olive Branch, MS 38654-8096 Ph: (502) 810-4164 | Mrs Kathryn Claire Pruitt, APN 111 Chase St, Byhalia, MS 38611 Ph: (502) 810-4164 |
Nikisha Newsom, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Dr. Brittney Boyd, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 131 Highway 309 S, Byhalia, MS 38611 Phone: 662-838-5565 Fax: 662-838-4470 | |
Darlene Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2808 Allyson Gene Cv, Byhalia, MS 38611 Phone: 901-289-7903 | |
Ashley M Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Chassity W Greer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Brunswick St, Byhalia, MS 38611 Phone: 662-838-2163 | |
Hannah Losapio, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2404 Church St, Byhalia, MS 38611 Phone: 662-901-9999 Fax: 662-855-0230 | |
Joseph Tubbs, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 131 Highway 309 S, Byhalia, MS 38611 Phone: 662-838-5565 |