Ricky Paul Gault, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Amory, Mississippi. His current practice location is
1105 Earl Frye Blvd, Amory, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 256-7111.
Ricky Paul Gault is licensed to practice in Mississippi (license number R619078) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164441788.
Provider's Profile
Full Name | Ricky Paul Gault |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1105 Earl Frye Blvd, Amory, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ricky Paul Gault attended and graduated from in
NPI Data:
- NPI Number: 1164441788
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/30/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ricky Paul Gault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164441788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R619078 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ricky Paul Gault is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ricky Paul Gault, CRNA 123 Main St N, Amory, MS 38821-3416 Ph: (662) 256-7112 | Ricky Paul Gault, CRNA 1105 Earl Frye Blvd, Amory, MS 38821-5500 Ph: (662) 256-7111 |
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