| Paige Sparks, | |
| 
					5482 Ms-15, Ecru, MS 38841  | |
| (662) 488-8799 | |
| Not Available | 
| Full Name | Paige Sparks | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5482 Ms-15, Ecru, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669170262 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905800 (Mississippi) | Primary | 
| 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 | 
|---|---|
| Paige Sparks, 5482 Ms-15, Ecru, MS 38841 Ph: () -  | Paige Sparks, 5482 Ms-15, Ecru, MS 38841 Ph: (662) 488-8799  | 
Tracey Michelle Foreman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799  | |
Allison Miller Bailey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7618 Hwy 15 North, Ecru, MS 38841 Phone: 662-489-6522 Fax: 662-234-4749  | |
Dalyn Reynolds, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 392 Main St, Ecru, MS 38841 Phone: 662-573-4800  | |
Sabrina Davidson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Highway 15 N, Ecru, MS 38841 Phone: 662-488-8799 Fax: 662-488-8729  | |
Megan Springer Howell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799  | |
Jennifer Chism Bolen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5482 Ms-15, Ecru, MS 38841 Phone: 662-488-8799  |