Shannon Haney Loftin, FNP-C | |
502 Broad St, Columbia, MS 39429-3037 | |
(601) 736-8282 | |
(601) 736-8333 |
Full Name | Shannon Haney Loftin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 502 Broad St, Columbia, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609226109 | NPI | - | NPPES |
01808562 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 901706 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 901706 (Mississippi) | Primary |
Entity Name | Keystone Medical Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
Entity Name | Southwest Mississippi Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289172 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000089 |
Entity Name | Southwest Mississippi Regional Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1932211851 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000285 |
Entity Name | Keystone Hospitalist Services Of Ms Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
Mailing Address | Practice Location Address |
---|---|
Shannon Haney Loftin, FNP-C 1065 E Broad St, Monticello, MS 39654-7703 Ph: (601) 587-4051 | Shannon Haney Loftin, FNP-C 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 |