| William Wyatt Moore, NP | |
|
2105 Old Spanish Trl, Gautier, MS 39553-6000 | |
| (228) 497-9123 | |
| (228) 497-0647 |
| Full Name | William Wyatt Moore |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 2105 Old Spanish Trl, Gautier, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407089907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R867645 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Homecare- Region I | Laurel, MS | Home health agency |
| Enhabit Home Health Of The Gulf Coast | Gulfport, MS | Home health agency |
| Saad Home Health And Hospice Of Ms | Diberville, MS | Home health agency |
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Singing River Health System | Pascagoula, MS | Hospital |
| Singing River Gulfport | Gulfport, MS | Hospital |
| Memorial Hospital Biloxi | Biloxi, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 473 |
| Entity Name | Memorial Hospital at Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093142598 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Mailing Address | Practice Location Address |
|---|---|
| William Wyatt Moore, NP 2105 Old Spanish Trl, Gautier, MS 39553-6000 Ph: (228) 497-9123 | William Wyatt Moore, NP 2105 Old Spanish Trl, Gautier, MS 39553-6000 Ph: (228) 497-9123 |
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: Accepting Medicare Assignments Practice Location: 3265 Highway 90, Gautier, MS 39553 Phone: 228-366-9136 Fax: 228-366-9137 |
Mrs. Natwassie Truly, FNPC Nurse Practitioner Medicare: Medicare Enrolled 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: Medicare Enrolled Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 |
Mrs. Sarah K Wilson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7700 Fax: 228-205-7715 |
Amanda Ann Campbell, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3407 Shamrock Ct, Gautier, MS 39553 Phone: 228-497-0690 Fax: 228-497-1363 |
Mr. Timothy Scott Enfinger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Magnolia Bluff Dr, Gautier, MS 39553 Phone: 228-300-1967 |