Mrs Jessica Amanda Mckenzie, FNP | |
502 Broad St, Columbia, MS 39429-3037 | |
(601) 736-8282 | |
(601) 736-8333 |
Full Name | Mrs Jessica Amanda Mckenzie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 502 Broad St, Columbia, 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 |
---|---|---|---|
1750517660 | NPI | - | NPPES |
7886167 | Other | MS | CIGNA |
03824030 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R861305 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Hospital | Hattiesburg, MS | Hospital |
Highland Community Hospital | Picayune, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forrest County General Hospital | 1052397767 | 82 |
Fgh Physician Billing | 1850344946 | 24 |
Hattiesburg Clinic, Pa | 5193706794 | 488 |
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 | Fgh Physician Billing |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053469700 PECOS PAC ID: 1850344946 Enrollment ID: O20050301000617 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Amanda Mckenzie, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 736-8282 | Mrs Jessica Amanda Mckenzie, FNP 502 Broad St, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
Reanna Henderson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 628 Main St, Columbia, MS 39429 Phone: 601-736-6877 | |
Alicia Brister, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 | |
Mrs. Marquita Tucker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Highway 98 Byp, Columbia, MS 39429 Phone: 601-522-2095 | |
Allison Patterson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 | |
Lauren Hurst, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6303 | |
Brenda K Thornhill, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6443 Fax: 601-736-2543 | |
Ms. Ronda M. Vanderheiden, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 Fax: 601-261-2942 |