Matthew Kevin Bounds (NPI# 1295273670, PAC ID# 5395093975) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1295273670 |
PAC ID by PECOS | 5395093975 |
Professional Enrollment ID | I20180731000508 |
Full Name | Matthew Kevin Bounds |
Address |
870 Main St Fayette MS 39069-5695 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250084 | MERIT HEALTH NATCHEZ |
250060 | JEFFERSON COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
870 Main St, Fayette, MS 39069-5695 | ||
54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 6014432100 | COMPREHENSIVE HOSPITALISTS OF MS, LLC |
Street Address |
870 MAIN ST |
City | FAYETTE |
State | MS |
Zip | 39069-5695 |
Name | Specialty | Organization | Address |
---|---|---|---|
Owais Mufti | Internal Medicine | 870 Main St, Fayette, MS 39069-5695 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shanti Pandey | Family Medicine | 821 Main St, Fayette, MS 39069-0008 | |
Crystal Cook | Nurse Practitioner | Jefferson Comprehensive Health Center, Inc. | 430 Hwy 33, Fayette, MS 39069-4546 |
Victor O Anazia | Internal Medicine | Anazia Medical II, Inc. | 1264 Main St, Fayette, MS 39069-5696 |
City | FAYETTE |
Zip Code | 39069 |
Specialty | NURSE PRACTITIONER |
City + Specialty | FAYETTE + 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.