Organization Name: | PICAYUNE PEDIATRICS LLC |
NPI Number: | 1891150629 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETTY JO ALEXANDER (OWNER) |
Mailing Address: | 200 Country Club Rd Carriere |
State: | MS US |
Postal Code: | 394269037 |
Phone Number: | 6015901045 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | R687693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |