| Mrs Sarah K Wilson, FNP | |
|
210 Old Spanish Trail, Gautier, MS 39553 | |
| (228) 205-7700 | |
| (228) 205-7715 |
| Full Name | Mrs Sarah K Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 210 Old Spanish Trail, Gautier, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235403874 | NPI | - | NPPES |
| 30250I4396 | Other | MS | MEDICARE |
| 5799138 | Other | MS | CIGNA |
| 9740799 | Other | MS | AETNA |
| 09221069 | Medicaid | MS | |
| 3431557 | Other | MS | UHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R866933 (Mississippi) | Primary |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sarah K Wilson, FNP 210 Old Spanish Trail, Gautier, MS 39553 Ph: (228) 205-7700 | Mrs Sarah K Wilson, FNP 210 Old Spanish Trail, Gautier, MS 39553 Ph: (228) 205-7700 |
Denise D Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 | |
Mr. James Nathan Payne, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5090 Gautier Vancleave Rd, Gautier, MS 39553 Phone: 228-522-6700 Fax: 228-522-3383 | |
Meagan Kristin Cross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 | |
Natwassie Truly, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1408 Highway 90 Ste 6, Gautier, MS 39553 Phone: 228-471-5217 Fax: 228-471-5217 | |
Julie T Trice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 | |
William Wyatt Moore, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-497-9123 Fax: 228-497-0647 |