Mr Jeffrey Jerome Mitchell, NP | |
206 Bay Ave, Richton, MS 39476-2941 | |
(601) 788-6316 | |
(601) 788-6316 |
Full Name | Mr Jeffrey Jerome Mitchell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 206 Bay Ave, Richton, 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 |
---|---|---|---|
1942234232 | NPI | - | NPPES |
0122793 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R832748 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covington County Hospital Cah | Collins, MS | Hospital |
Simpson General Hospital Cah | Mendenhall, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covington County Hospital | 4183517253 | 33 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1215965249 PECOS PAC ID: 4183517253 Enrollment ID: O20080912000358 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336447861 PECOS PAC ID: 4183517253 Enrollment ID: O20110519000619 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Jerome Mitchell, NP 229 Oral Church Rd, Sumrall, MS 39482-4015 Ph: (601) 264-3448 | Mr Jeffrey Jerome Mitchell, NP 206 Bay Ave, Richton, MS 39476-2941 Ph: (601) 788-6316 |
Ms. Janell G Carter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 206 Bay Ave, Richton, MS 39476 Phone: 601-788-6316 Fax: 601-788-2230 | |
Jillian Christina Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 91570 Highway 42, Richton, MS 39476 Phone: 601-791-2101 | |
Crystal Dale Grantham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 Fax: 601-788-6318 | |
Angela Denise Haigler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Highway 15 S, Richton, MS 39476 Phone: 601-319-7660 | |
Ms. Jerryl Mcgowan Collins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Oak Street, Richton, MS 39476 Phone: 601-408-0719 | |
Mr. James Sawyer Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Bay Ave, Richton, MS 39476 Phone: 601-788-9222 | |
Victoria Rachelle Owens, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 411 Oak St, Richton, MS 39476 Phone: 601-408-0719 |