| Alicia Brister, CFNP | |
|
914 Sumrall Rd, Columbia, MS 39429-2652 | |
| (601) 731-1470 | |
| (601) 731-1474 |
| Full Name | Alicia Brister |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 914 Sumrall Rd, Columbia, 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 |
|---|---|---|---|
| 1336543305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R857423 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke Home Health Services | Mccomb, MS | Home health agency |
| Forrest General Home Care Of Marion General | Columbia, MS | Home health agency |
| Marion General Hospital | Columbia, MS | Hospital |
| Walthall County General Hospital Cah | Tylertown, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Clinic Of Columbia, P.a. | 6507982410 | 3 |
| Entity Name | Internal Medicine Clinic Of Columbia, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205858263 PECOS PAC ID: 6507982410 Enrollment ID: O20111212000526 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Brister, CFNP 37 Powell Grove Rd, Jayess, MS 39641-3610 Ph: (601) 455-7234 | Alicia Brister, CFNP 914 Sumrall Rd, Columbia, MS 39429-2652 Ph: (601) 731-1470 |
Mrs. Marquita Tucker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Highway 98 Byp, Columbia, MS 39429 Phone: 601-522-2095 | |
Lauren Hurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6303 | |
Brenda K Thornhill, CFNP Nurse Practitioner Medicare: Medicare Enrolled 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 | |
Nancy F Easterling, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 | |
Shannon Haney Loftin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-736-8333 |