Mrs Shawnta Senice Gandy, - Medicare Nurse Practitioner in Petal, MS

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Mrs Shawnta Senice Gandy, is a medicare enrolled "Nurse Practitioner - Family" in Petal, Mississippi. Her current practice location is 27 Candelabra St, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 620-8011.

Mrs Shawnta Senice Gandy is licensed to practice in Mississippi (license number R883735) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366851321.

Contact Information

Mrs Shawnta Senice Gandy,
27 Candelabra St,
Petal, MS 39465-9008
(601) 620-8011
Not Available

Map and Direction




Provider's Profile

Full NameMrs Shawnta Senice Gandy
GenderFemale
SpecialityNurse Practitioner - Family
Location27 Candelabra St, Petal, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366851321
  • Provider Enumeration Date: 08/04/2014
  • Last Update Date: 10/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3577889252
  • Enrollment ID: I20150225000653

Medical Identifiers

Medical identifiers for Mrs Shawnta Senice Gandy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366851321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R883735 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family R883735 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shawnta Senice Gandy allows following entities to bill medicare on her behalf.
Entity NamePioneer Health Care , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336384742
PECOS PAC ID: 4789740044
Enrollment ID: O20090311000659
Entity NameMedical Systems Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740555267
PECOS PAC ID: 5092964643
Enrollment ID: O20131024001113
Entity NameMdb Behavioral Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669835310
PECOS PAC ID: 0749572915
Enrollment ID: O20160708000104
Entity NameFast Pace Mississippi Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447769559
PECOS PAC ID: 3678832029
Enrollment ID: O20180111000291
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20210520000556
Entity NameAp Med L.l.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730834458
PECOS PAC ID: 9830586965
Enrollment ID: O20220420000870
Entity NameMdb Care Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144925272
PECOS PAC ID: 0547619512
Enrollment ID: O20231215002106

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. Mrs Shawnta Senice Gandy 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 AddressPractice Location Address
Mrs Shawnta Senice Gandy,
27 Candelabra St,
Petal, MS 39465-9008

Ph: (601) 620-8011		Mrs Shawnta Senice Gandy,
27 Candelabra St,
Petal, MS 39465-9008

Ph: (601) 620-8011

Reviews and Comments


Nurse Practitioner Nurses in Petal, MS

Mrs. Hang My-thi Nguyen, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Eastbrook Dr Ste 30, Petal, MS 39465
Phone: 601-336-5393    
Mallory Stockstill, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465
Phone: 601-584-4309    Fax: 601-584-4890
David Lee Snodgrass, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465
Phone: 601-584-4309    Fax: 601-584-4890
Raven Miller,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 S Main St, Petal, MS 39465
Phone: 602-336-5626    
Crystal Nichole Wallace, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 50 Parkway Ln Ste B, Petal, MS 39465
Phone: 601-705-2897    
Dayna Hamm Pridgen, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50 Parkway Ln Ste B, Petal, MS 39465
Phone: 601-705-2897    Fax: 601-579-5240
Hope V Pittman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465
Phone: 601-584-4309    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.