Deidra Thompson, FNP | |
3794 Highway 468 W, Pearl, MS 39208-9008 | |
(601) 932-2880 | |
Not Available |
Full Name | Deidra Thompson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 3794 Highway 468 W, Pearl, 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 |
---|---|---|---|
1033585286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R886810 (Mississippi) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R886810 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Telecare Inc | 9638319114 | 34 |
Forefront Telecare Inc | 9638319114 | 34 |
Mdb Behavioral Health Services Llc | 0749572915 | 59 |
Entity Name | Md Billing, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548474042 PECOS PAC ID: 0648210831 Enrollment ID: O20050506000374 |
Entity Name | St. Dominic Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Entity Name | A-z Behavioral Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669898961 PECOS PAC ID: 5991931313 Enrollment ID: O20160526000552 |
Entity Name | Forefront Telecare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174035612 PECOS PAC ID: 9638319114 Enrollment ID: O20190612002030 |
Entity Name | Brightside Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230711002961 |
Mailing Address | Practice Location Address |
---|---|
Deidra Thompson, FNP 1783 Jones Loop, Terry, MS 39170-9013 Ph: (601) 613-5217 | Deidra Thompson, FNP 3794 Highway 468 W, Pearl, MS 39208-9008 Ph: (601) 932-2880 |
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020 | |
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246 | |
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124 | |
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 |