Marketta Renea Blue (NPI# 1548671514, PAC ID# 9335463207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548671514 |
| PAC ID by PECOS | 9335463207 |
| Professional Enrollment ID | I20170914002192 |
| Full Name | Marketta Renea Blue |
| Organization Legal Name | DELTA HEALTH CENTER, INC. |
| Address |
702 Martin Luther King St Mound Bayou MS 38762-9314 |
| Phone Number | 6627418880 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608783295 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250093 | BOLIVAR MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 702 Martin Luther King St, Mound Bayou, MS 38762-9314 | 6627418880 | DELTA HEALTH CENTER, INC. |
| Organization Legal Name | DELTA HEALTH CENTER, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronsheka A Palmer | Nurse Practitioner | Delta Health Center, Inc. | 2363 Hwy 1 S, Greenville, MS 38701-8337 |
| Alyssa L Simmons | Nurse Practitioner | Delta Health Center, Inc. | 102 S Martin Luther King Jr Dr, Indianola, MS 38751-2366 |
| Yolanda F Murry | Nurse Practitioner | Delta Health Center, Inc. | 110 W Washington, Moorhead, MS 38761 |
| Felicia N White | Nurse Practitioner | Delta Health Center, Inc. | 1414 Hospital St, Greenville, MS 38703-3217 |
| Catherine Elizabeth Brett | Obstetrics/gynecology | Delta Health Center, Inc. | 548 Rosemary Rd, Cleveland, MS 38732-2075 |
| Allison H Doyle | Family Medicine | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| Michael L Baker | Family Practice | Delta Health Center, Inc. | 20400 Hwy 61, Rolling Fork, MS 39159-5014 |
| Meta Hodges Anderson | Nurse Practitioner | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| Shonda Williams | Nurse Practitioner | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| Meagan M Mccoy | Physician Assistant | Delta Health Center, Inc. | 100 E Washington St, Hollandale, MS 38748-3842 |
| Street Address |
702 MARTIN LUTHER KING ST |
| City | MOUND BAYOU |
| State | MS |
| Zip | 38762-9314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison H Doyle | Family Medicine | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| Meta Hodges Anderson | Nurse Practitioner | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| Shonda Williams | Nurse Practitioner | Delta Health Center, Inc. | 702 Martin Luther King St, Mound Bayou, MS 38762-9314 |
| City | MOUND BAYOU |
| Zip Code | 38762 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MOUND BAYOU + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marketta Renea Blue.
| 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.