Sonja Pennington, CNP | |
2372 Us-49e Unit 240, Sumner, MS 38957 | |
(662) 375-9310 | |
(662) 375-9311 |
Full Name | Sonja Pennington |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 2372 Us-49e Unit 240, Sumner, 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 |
---|---|---|---|
1386180610 | NPI | - | NPPES |
00721224 | Medicaid | MS | |
00176836 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 901711 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Greenwood, MS | Home health agency |
Adoration Home Health Care Mississippi | Cleveland, MS | Home health agency |
Sunflower Home Health | Cleveland, MS | Home health agency |
Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
Greenwood Leflore Hospital | Greenwood, MS | Hospital |
Entity Name | Cassidy Bayou Medical Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376181990 PECOS PAC ID: 4981030319 Enrollment ID: O20200204000808 |
Mailing Address | Practice Location Address |
---|---|
Sonja Pennington, CNP Po Box 115, Sumner, MS 38957-0115 Ph: () - | Sonja Pennington, CNP 2372 Us-49e Unit 240, Sumner, MS 38957 Ph: (662) 375-9310 |
Tasha Rucker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2372 Us49-e, Sumner, MS 38957 Phone: 662-375-9310 | |
Mr. Robert L Tucker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2372 Hwy 49 East, Sumner, MS 38957 Phone: 662-375-9310 | |
Mrs. Barbara Dew Criswell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Court St, Sumner, MS 38957 Phone: 662-375-9989 Fax: 662-375-8762 |