Mrs Vicki Hampton, FNP | |
1203 Avenue B, Ellisville, MS 39437-2080 | |
(601) 477-8553 | |
(601) 477-9158 |
Full Name | Mrs Vicki Hampton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1203 Avenue B, Ellisville, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740226018 | NPI | - | NPPES |
00121716 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R853027 (Mississippi) | Primary |
Entity Name | South Central Clinics, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
Mailing Address | Practice Location Address |
---|---|
Mrs Vicki Hampton, FNP Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Mrs Vicki Hampton, FNP 1203 Avenue B, Ellisville, MS 39437-2080 Ph: (601) 477-8553 |
Mrs. Stephanie D. Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-5770 | |
Jessie Watson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 B Ave, Ellisville, MS 39437 Phone: 601-477-3550 | |
Marlana Perkins Hedgepeth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-2221 Fax: 601-477-2223 | |
Tony Earl Miller, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5192 Highway 11 N, Ellisville, MS 39437 Phone: 604-649-7921 Fax: 601-649-7939 | |
Jeri S England, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Court St, Ellisville, MS 39437 Phone: 601-477-4104 Fax: 601-399-6254 | |
Mr. Donald Scoggin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Ave B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158 | |
Mrs. Lisa Graham Blesse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5795 Fax: 601-477-5895 |