Brianna Michelle Pendergrass, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Jackson, Mississippi. Her current practice location is
1325 E Fortification St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 354-4488.
Brianna Michelle Pendergrass is licensed to practice in Mississippi (license number 904177) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518522283.
Physician's Profile
| Full Name | Brianna Michelle Pendergrass |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1325 E Fortification St, Jackson, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brianna Michelle Pendergrass attended and graduated from in
NPI Data:
- NPI Number: 1518522283
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 12/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brianna Michelle Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518522283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 904177 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 25671 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904177 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Michelle Pendergrass is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brianna Michelle Pendergrass, FNP-BC
110 Villa Way,
Clinton, MS 39056-6106
Ph: (601) 720-7166 | Brianna Michelle Pendergrass, FNP-BC
1325 E Fortification St,
Jackson, MS 39202-2442
Ph: (601) 354-4488 |
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