Jennifer Miranda Summers, NP-C | |
44 Brooklyn Janice Rd, Brooklyn, MS 39425-9731 | |
(601) 582-1188 | |
(601) 582-8844 |
Full Name | Jennifer Miranda Summers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 44 Brooklyn Janice Rd, Brooklyn, 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 |
---|---|---|---|
1225514391 | NPI | - | NPPES |
09734315 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 902797 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 902797 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
Entity Name | Hattiesburg Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
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 |
---|---|
Jennifer Miranda Summers, NP-C Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Jennifer Miranda Summers, NP-C 44 Brooklyn Janice Rd, Brooklyn, MS 39425-9731 Ph: (601) 582-1188 |
Kaylora L Bingham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 Fax: 601-582-8844 | |
Charles F Diamond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 | |
Ms. Susan E Gentry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44 Brooklyn Janice Rd, Brooklyn, MS 39425 Phone: 601-582-1188 Fax: 601-582-8844 |