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Physician Compare National (NPI:1508064338)

HEALTHCARE PROVIDER: MARY ANN MOSBEY APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1508064338
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0244325496
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20071002000837
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MOSBEY
Individual professional last name
Provider First Name MARY ANN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 2007
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name MOUNTAIN COMPREHENSIVE CARE CENTER INC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5294720553
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 52
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 300 W MAIN ST
Group Practice or individual's line 1 address
City GRAYSON
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 411431274
Group Practice or individual's zip code (9 digits when available)
Phone Number 6068868572
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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