Kimberly G Brunson (NPI# 1477785798, PAC ID# 3173669744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1477785798 |
PAC ID by PECOS | 3173669744 |
Professional Enrollment ID | I20091013000220 |
Full Name | Kimberly G Brunson |
Organization Legal Name | MERCY MEDICAL HEALTH CENTER |
Address |
4633 Quitman Hwy Hodge LA 71247-4300 |
Phone Number | 3182591100 |
Gender | F |
Graduation Year | 2009 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1557639655 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
191317 | JACKSON PARISH HOSPITAL |
190086 | NORTHERN LOUISIANA MEDICAL CENTER |
190160 | GLENWOOD REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4633 Quitman Hwy, Hodge, LA 71247-4300 | 3182591100 | MERCY MEDICAL HEALTH CENTER |
Organization Legal Name | MERCY MEDICAL HEALTH CENTER |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamara Tidwell Cerniglia | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
Stacy Denise Ferrell | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
Street Address |
4633 QUITMAN HWY |
City | HODGE |
State | LA |
Zip | 71247-4300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tamara Tidwell Cerniglia | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
Stacy Denise Ferrell | Nurse Practitioner | Mercy Medical Health Center | 4633 Quitman Hwy, Hodge, LA 71247-4300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gene Mariano | Physical Therapy | Green Clinic LLC | 4707 Quitman Hwy, Jonesboro, LA 71247-0001 |
City | HODGE |
Zip Code | 71247 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HODGE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.