Tracy B Rhinewalt, MSN FNP BC | |
971 Lakeland Dr, Suite 657, Jackson, MS 39216-4643 | |
(601) 200-2780 | |
(601) 200-2788 |
Full Name | Tracy B Rhinewalt |
---|---|
Gender | Female |
Speciality | Clinical Nurse Specialist - Family Health |
Location | 971 Lakeland Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285967547 | NPI | - | NPPES |
08227549 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SF0001X | Clinical Nurse Specialist - Family Health | R865510 (Mississippi) | Primary |
363LF0000X | Nurse Practitioner - Family | R865510 (Mississippi) | Secondary |
Entity Name | St. Dominic Medical Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821 |
Entity Name | Telehealthone, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609284330 PECOS PAC ID: 6103148036 Enrollment ID: O20141204001059 |
Mailing Address | Practice Location Address |
---|---|
Tracy B Rhinewalt, MSN FNP BC Po Box 23666, Jackson, MS 39225-3666 Ph: (601) 200-4749 | Tracy B Rhinewalt, MSN FNP BC 971 Lakeland Dr, Suite 657, Jackson, MS 39216-4643 Ph: (601) 200-2780 |
Mrs. Christine Haynes Roberts, BSN, RN, MSN, NP-C Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-6270 Fax: 601-815-1828 | |
Ms. Elizabeth Ann Williams, FNP, PMHNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St Ste 420, Jackson, MS 39202 Phone: 601-355-3353 Fax: 601-355-3365 | |
Valerie Brunt, NP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000 | |
Deborah Kirkpatrick, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-368-3914 Fax: 601-364-1305 | |
Mrs. Bonney Collins, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2969 Curran Dr N # 200, Jackson, MS 39216 Phone: 601-974-5600 | |
Mrs. Jeanne H Palmer, MSN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1500 E. Woodrow Wilson Dr, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1305 |