Undra L Haggan, NURSE PRACTITIONER in Clarksdale, MS

Undra L Haggan, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Clarksdale, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aaron E Henry Community Health and her current practice location is 1202 Desoto Ave, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 202-1297.

Undra L Haggan is licensed to practice in Mississippi (license number 903148) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144785684.

Contact Information

	Undra L Haggan, NURSE PRACTITIONER
	1202 Desoto Ave, Clarksdale, MS 38614-6937
	(662) 202-1297
	Not Available

Map and Direction

Provider's Profile

Full Name	Undra L Haggan
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	1202 Desoto Ave, Clarksdale, 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.

Medical Education and Training:

Undra L Haggan graduated from nursing school in 2018

NPI Data:

NPI Number: 1144785684
Provider Enumeration Date: 02/08/2019
Last Update Date: 06/07/2019

Medicare PECOS Information:

PECOS PAC ID: 6800120775
Enrollment ID: I20190626002143

Medical Identifiers

Medical identifiers for Undra L Haggan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144785684	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	903148 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aaron E Henry Community Health	1153230560	9

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Undra L Haggan allows following entities to bill medicare on her behalf.

Entity Name	Aaron E Henry Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003814104 PECOS PAC ID: 1153230560 Enrollment ID: O20040330001267

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Undra L Haggan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Undra L Haggan, NURSE PRACTITIONER 619 S State St, Clarksdale, MS 38614-6319 Ph: (662) 645-4827	Undra L Haggan, NURSE PRACTITIONER 1202 Desoto Ave, Clarksdale, MS 38614-6937 Ph: (662) 202-1297

Reviews and Comments

Nurse Practitioner Nurses in Clarksdale, MS

Margaret Chandler Lewis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2245 N State St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-4131
Mrs. Regina Denise Groner, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 S State St, Clarksdale, MS 38614 Phone: 662-966-1012
Gwenevere Chew, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Desoto Avenue Ext, Clarksdale, MS 38614 Phone: 662-741-2151 Fax: 662-741-2700
Anna Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Sunflower Ave, Clarksdale, MS 38614 Phone: 662-351-2035 Fax: 662-351-2045
Lashonda Lashay Bradley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1967 Hospital Dr, Clarksdale, MS 38614 Phone: 662-624-5481 Fax: 662-621-1499
Dr. Carleen Thompson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1402 Miller Dr, Clarksdale, MS 38614 Phone: 662-627-8694

Undra L Haggan, NURSE PRACTITIONER - Medicare Nurse Practitioner in Clarksdale, MS