Sarah M Tucker, FNP | |
102 Shelby Speights Dr, Purvis, MS 39475-4151 | |
(601) 794-8068 | |
(601) 794-5650 |
Full Name | Sarah M Tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 102 Shelby Speights Dr, Purvis, 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 |
---|---|---|---|
1861501132 | NPI | - | NPPES |
1791199 | Medicaid | LA | |
3437160 | Other | MS | AMERICAN ADMIN GROUP |
02478201 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R861886 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 861886 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health-home Health & Hospice | Hattiesburg, MS | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 |
Mailing Address | Practice Location Address |
---|---|
Sarah M Tucker, FNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-8068 | Sarah M Tucker, FNP 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8068 |
Susan M Sicotte, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Jamila Annice Spinks, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 | |
Suzanne Cox, CFNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0130 | |
Misty Jones Barrett, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 | |
Phaedra Mclin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0247 | |
Kimberly Woods, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 |