Katelyn R Moffett (NPI# 1972875995, PAC ID# 6002070968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972875995 |
| PAC ID by PECOS | 6002070968 |
| Professional Enrollment ID | I20120606000274 |
| Full Name | Katelyn R Moffett |
| Organization Legal Name | PAIN MANAGEMENT CTR MERIDIAN |
| Address |
1102 Constitution Ave Meridian MS 39301-4001 |
| Phone Number | 6017035600 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224080247 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250081 | ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| 250043 | NESHOBA COUNTY GENERAL HOSPITAL |
| 250069 | RUSH FOUNDATION HOSPITAL |
| 251307 | NOXUBEE GENERAL CRITICAL ACCESS HOSP |
| Address | Phone | Organization |
|---|---|---|
| 1102 Constitution Ave, Meridian, MS 39301-4001 | 6017035600 | PAIN MANAGEMENT CTR MERIDIAN |
| Organization Legal Name | PAIN MANAGEMENT CTR MERIDIAN |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Azhar M Pasha | Pain Management | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Brandi L Robinson | Nurse Practitioner | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Priscilla S Miller | Nurse Practitioner | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Street Address |
1102 CONSTITUTION AVE |
| City | MERIDIAN |
| State | MS |
| Zip | 39301-4001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry L Stork | Physician Assistant | Anderson Regional Medical Center | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Amy Ball Coleman | Diagnostic Radiology | Meridian Imaging, Pa | 1102 Constitution Ave, Fl 1, Meridian, MS 39301-4001 |
| Azhar M Pasha | Pain Management | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Brandi L Robinson | Nurse Practitioner | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Priscilla S Miller | Nurse Practitioner | Pain Management Ctr Meridian | 1102 Constitution Ave, Meridian, MS 39301-4001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
| Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
| Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Find all physicians in zip 39301 | |||
| City | MERIDIAN |
| Zip Code | 39301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Katelyn R Moffett.
| 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.