David Phillip Mackey Jr, FNP-BC | |
845 S Madison St, Tupelo, MS 38801-4905 | |
(662) 377-5930 | |
(662) 377-5085 |
Full Name | David Phillip Mackey Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 845 S Madison St, Tupelo, 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 |
---|---|---|---|
1609131358 | NPI | - | NPPES |
03824819 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WH0200X | Registered Nurse - Home Health | R857999 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | R857999 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midnight-medical, Inc. | 9436284239 | 3 |
Entity Name | Midnight-medical, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770727257 PECOS PAC ID: 9436284239 Enrollment ID: O20100318000597 |
Mailing Address | Practice Location Address |
---|---|
David Phillip Mackey Jr, FNP-BC 5482 Highway 15 N, Ecru, MS 38841-8471 Ph: (662) 488-8799 | David Phillip Mackey Jr, FNP-BC 845 S Madison St, Tupelo, MS 38801-4905 Ph: (662) 377-5930 |
Nicole Sherice Taylor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 South Gloster Street, Tupelo, MS 38801 Phone: 662-377-5930 | |
Mrs. Rebecca Perry Ward, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4381 South Eason Blvd, Longtown Medical Park, Tupelo, MS 38801 Phone: 662-377-7354 Fax: 662-377-5301 | |
Ms. Wanda Ikeda, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801 Phone: 662-620-6800 Fax: 662-377-2403 | |
Mrs. Tina King, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1573 Medical Park Cir, Tupelo, MS 38801 Phone: 662-844-9885 Fax: 662-842-1350 | |
Anna Danielle Woodruff, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 499 Gloster Creek Vlg Ste H3, Tupelo, MS 38801 Phone: 662-840-6026 Fax: 662-840-6030 | |
Jennifer L Taylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 205-412-0585 | |
Kalisa Mickell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000 |