Tippini K Conley, CFNP | |
14101 Hickory Street, Oakland, MS 38948-0000 | |
(662) 623-7319 | |
(662) 473-4991 |
Full Name | Tippini K Conley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 14101 Hickory Street, Oakland, Mississippi |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275789935 | NPI | - | NPPES |
512I500752 | Other | MS | MEDICARE PTAN |
01802340 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R866055 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Greenwood, MS | Home health agency |
Yalobusha General Hospital | Water valley, MS | Hospital |
University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
Tallahatchie Critical Access Hospital | Charleston, MS | Hospital |
Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yalobusha General Hospital | 4486601648 | 11 |
Entity Name | Yalobusha General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740380914 PECOS PAC ID: 4486601648 Enrollment ID: O20050331000530 |
Entity Name | Panola Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528874 PECOS PAC ID: 2668715624 Enrollment ID: O20190515002618 |
Entity Name | Progressive Medical Management Of Batesville Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
Mailing Address | Practice Location Address |
---|---|
Tippini K Conley, CFNP 14101 Hickory Street, Oakland, MS 38948-0000 Ph: (662) 623-7319 | Tippini K Conley, CFNP 14101 Hickory Street, Oakland, MS 38948-0000 Ph: (662) 623-7319 |