Allen Breland Yelverton, | |
3317 Pemberton Square Blvd, Vicksburg, MS 39180-5578 | |
(601) 636-1173 | |
(601) 638-8287 |
Full Name | Allen Breland Yelverton |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 3317 Pemberton Square Blvd, Vicksburg, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710472790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 902697 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home -flowood | Flowood, MS | Home health agency |
Merit Health River Region | Vicksburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vicksburg Clinic Llc | 5890696330 | 23 |
Entity Name | Vicksburg Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
Entity Name | Oakes Family Care, Llc Dba The Doctor's Office: Oakes Family Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669804910 PECOS PAC ID: 1759517709 Enrollment ID: O20131121000277 |
Entity Name | Express Care Of Cleveland, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780151381 PECOS PAC ID: 0547502387 Enrollment ID: O20190429000343 |
Entity Name | Pain Treatment Centers Of America Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20211104001837 |
Mailing Address | Practice Location Address |
---|---|
Allen Breland Yelverton, 2200 Highway 61 N, Vicksburg, MS 39183-8246 Ph: (601) 883-3391 | Allen Breland Yelverton, 3317 Pemberton Square Blvd, Vicksburg, MS 39180-5578 Ph: (601) 636-1173 |
Mrs. Brittany Sharda Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-262-2922 | |
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600 | |
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622 |