| Mrs Manda Sue Griffin, DNP | |
|
400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 | |
| (662) 568-2013 | |
| (662) 568-2023 |
| Full Name | Mrs Manda Sue Griffin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 400 Third Avenue Highway 32 West, Houlka, 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 |
|---|---|---|---|
| 1386781151 | NPI | - | NPPES |
| 04506555 | Medicaid | MS | |
| R850148 | Other | MS | FNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R850148 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monroe Regional Hospital | Aberdeen, MS | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-vista Rehab, Inc. | 0345390308 | 22 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Manda Sue Griffin, DNP 400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 Ph: (662) 568-2013 | Mrs Manda Sue Griffin, DNP 400 Third Avenue Highway 32 West, Houlka, MS 38850-9004 Ph: (662) 568-2013 |
Mrs. Rachel Warren Rish, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Walker St, Access Family Health Services, Inc., Houlka, MS 38850 Phone: 662-568-3316 Fax: 662-568-3360 | |
Dorthia S Walters, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Walker St, Houlka, MS 38850 Phone: 662-568-3316 Fax: 662-568-3360 | |
Megan Celeste Hardin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Walker St, Houlka, MS 38850 Phone: 662-568-3316 Fax: 662-568-3360 | |
Rhonda Carol Baker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 989 Highway 32 E, Houlka, MS 38850 Phone: 662-760-1697 |