Ricky Paul Gault, CRNA is a
Nurse Anesthetist, Certified Registered based in Amory, Mississippi. Ricky Paul Gault is licensed to practice in Mississippi (license number R619078) and his current practice location is
1105 Earl Frye Blvd, Amory, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 256-7111.
NPI number for Ricky Paul Gault is 1164441788 and his current mailing address is 123 Main St N, Amory, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164441788.
Provider's Profile
| Full Name | Ricky Paul Gault |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1105 Earl Frye Blvd, Amory, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164441788
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/30/2014
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
NOT enrolled with medicare and thus cannot 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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