Amy R Douglas, DNP, FNP-BC, WHNP-BC | |
1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 | |
(601) 579-5400 | |
(601) 579-5240 |
Full Name | Amy R Douglas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 1 Lincoln Pkwy Ste 302, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801199666 | NPI | - | NPPES |
00127100 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R857450 (Mississippi) | Primary |
363LW0102X | Nurse Practitioner - Women's Health | R857450 (Mississippi) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trustcare Health, Llc | 0547427858 | 38 |
Entity Name | Trustcare Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427338235 PECOS PAC ID: 0547427858 Enrollment ID: O20120127000834 |
Entity Name | Fast Pace Mississippi Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
Mailing Address | Practice Location Address |
---|---|
Amy R Douglas, DNP, FNP-BC, WHNP-BC 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5400 | Amy R Douglas, DNP, FNP-BC, WHNP-BC 1 Lincoln Pkwy Ste 302, Hattiesburg, MS 39402 Ph: (601) 579-5400 |
Mrs. Lisa Deloris Slade, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 Stadium Dr, Hattiesburg, MS 39401 Phone: 601-450-0310 Fax: 601-450-0321 | |
Lyndell Sue Lee, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Ms. Laura Claire Singley, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4500 | |
Kisha L Knight, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Melissa Ruth Tolar, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-1212 | |
Miss Felicia Nicole Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Hawthorne Dr, Hattiesburg, MS 39402 Phone: 662-315-0755 | |
Mrs. Kristen Sentell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-288-1700 |