Mrs Ventasha S Parker, | |
4635 Highway 80 E, Pearl, MS 39208-4226 | |
(601) 936-3833 | |
(601) 936-3837 |
Full Name | Mrs Ventasha S Parker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 4635 Highway 80 E, Pearl, 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 |
---|---|---|---|
1467050419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 904217 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crossgates River Oaks Hospital | Brandon, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Health Care Clinic Inc | 5395656946 | 30 |
Entity Name | Family Health Care Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043236326 PECOS PAC ID: 5395656946 Enrollment ID: O20040831001179 |
Entity Name | Community Care Health Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210520000556 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ventasha S Parker, 4635 Highway 80 E, Pearl, MS 39208-4226 Ph: (601) 936-3833 | Mrs Ventasha S Parker, 4635 Highway 80 E, Pearl, MS 39208-4226 Ph: (601) 936-3833 |
Deidra Thompson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Aubree Jean Davis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 | |
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Meredith Selman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020 | |
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246 | |
Jade Alexandra Roberts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124 | |
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 |