Kenneth S Parker, ACNP | |
404 S 13th Ave, Laurel, MS 39440-4345 | |
(601) 425-5544 | |
(601) 425-5525 |
Full Name | Kenneth S Parker |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 404 S 13th Ave, Laurel, 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 |
---|---|---|---|
1407964844 | NPI | - | NPPES |
02684504 | Medicaid | MS | |
3494930 | Other | MS | AMERICAN ADMIN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R851488 (Mississippi) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 851488 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Central Reg Med Ctr | Laurel, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Central Clinics, Inc | 4385876655 | 100 |
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 | Forrest County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
Entity Name | South Central Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Kenneth S Parker, ACNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 425-5544 | Kenneth S Parker, ACNP 404 S 13th Ave, Laurel, MS 39440-4345 Ph: (601) 425-5544 |
Kayla Marie Cooley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 | |
Cynthia Lynn Bean, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Jefferson St, Laurel, MS 39440 Phone: 601-649-2863 | |
Illisia Marie Johnston, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N 15th Ave, Laurel, MS 39440 Phone: 601-426-5125 | |
Cynthia Dianne Arnold-spruill, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510 | |
Mrs. Elisa Rene Hillman, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 S 11th Ave, Laurel, MS 39440 Phone: 601-425-3033 Fax: 601-422-0431 | |
Tiffany Lauren Hilbun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 319 S 13th Ave, Laurel, MS 39440 Phone: 601-426-2140 Fax: 601-340-3220 | |
Mrs. Jessica Watson Lott, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 S 13th Ave, Laurel, MS 39440 Phone: 601-425-5544 Fax: 601-425-5525 |