Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- in Vicksburg, MS

Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Mississippi. Her current practice location is 2011 Highway 61 N, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (014) 562-2776.

Manivanh A Prudhomme is licensed to practice in Mississippi (license number 904068) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144831140.

Contact Information

	Manivanh A Prudhomme, MSN, FNP-BC, AGACNP-
	2011 Highway 61 N, Vicksburg, MS 39183-3918
	(014) 562-2776
	(601) 456-2622

Map and Direction

Provider's Profile

Full Name	Manivanh A Prudhomme
Gender	Female
Speciality
Experience	Years
Location	2011 Highway 61 N, Vicksburg, 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.

Medical Education and Training:

Manivanh A Prudhomme attended and graduated from in

NPI Data:

NPI Number: 1144831140
Provider Enumeration Date: 08/12/2020
Last Update Date: 07/13/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Manivanh A Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144831140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904068 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Manivanh A Prudhomme is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- 2011 Highway 61 N, Vicksburg, MS 39183 Ph: (601) 456-2277	Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- 2011 Highway 61 N, Vicksburg, MS 39183-3918 Ph: (014) 562-2776

Reviews and Comments

Nurse Practitioner Nurses in Vicksburg, MS

Jenifer Justice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 014-562-5986 Fax: 855-830-3484
Mrs. Brittany Sharda Barnes, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Mission 66, Vicksburg, MS 39183 Phone: 601-262-2922
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600

Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- - Medicare in Vicksburg, MS