Dr Tatum Lee Severino I, DNP, FNP-C | |
215 Katherine Dr Ste A, Flowood, MS 39232-9588 | |
(601) 665-4162 | |
(888) 398-1151 |
Full Name | Dr Tatum Lee Severino I |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 215 Katherine Dr Ste A, Flowood, 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 |
---|---|---|---|
1033724349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 27957 (Tennessee) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 904285 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mdb Behavioral Health Services Llc | 0749572915 | 59 |
Mississippi Ltac Holdings, Llc | 5395135677 | 6 |
Entity Name | Panola Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528874 PECOS PAC ID: 2668715624 Enrollment ID: O20190515002618 |
Entity Name | Mississippi Ltac Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1144983685 PECOS PAC ID: 5395135677 Enrollment ID: O20220809001499 |
Mailing Address | Practice Location Address |
---|---|
Dr Tatum Lee Severino I, DNP, FNP-C 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 Ph: (662) 934-7227 | Dr Tatum Lee Severino I, DNP, FNP-C 215 Katherine Dr Ste A, Flowood, MS 39232-9588 Ph: (601) 665-4162 |
Catherine Elizabeth Clingan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1006 Treetops Blvd Ste 104, Flowood, MS 39232 Phone: 601-939-1808 Fax: 601-939-1808 | |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 | |
Salina M Loggins, NP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 Katherine Dr, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 |