| Brenilla Vaughn, FNP | |
|
747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| (601) 833-4111 | |
| Not Available |
| Full Name | Brenilla Vaughn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 747 Industrial Park Rd Ne, Brookhaven, 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 |
|---|---|---|---|
| 1669937611 | NPI | - | NPPES |
| 002187356 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902851 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Southwest Ms Regional Medical Center | Mccomb, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minor Med Care, Llc | 7618866021 | 77 |
| Mdb Behavioral Health Services Llc | 0749572915 | 201 |
| Entity Name | Minor Med Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147 |
| Entity Name | Anointed Nephrology & Htn PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447563499 PECOS PAC ID: 7416143987 Enrollment ID: O20101123000354 |
| Entity Name | Mdb Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Uppal Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
| Entity Name | Mdb Care Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144925272 PECOS PAC ID: 0547619512 Enrollment ID: O20231215002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenilla Vaughn, FNP 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 Ph: (601) 833-4111 | Brenilla Vaughn, FNP 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 Ph: (601) 833-4111 |
Miss Montoyae C Leavy, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 747 Industrial Park Rd Ne, Brookhaven, MS 39601 Phone: 601-833-4111 |
Tonya C Hughey, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 940 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-5000 Fax: 601-823-4140 |
Mrs. Candace Laird Duckworth, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1578 Shanna Ln Nw, Brookhaven, MS 39601 Phone: 601-757-9659 |
Marty Kyle Ballard Sr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 N Jackson St, Brookhaven, MS 39601 Phone: 601-833-3800 Fax: 601-833-3847 |
Jennifer D Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1005 W Congress St, Brookhaven, MS 39601 Phone: 601-833-9388 Fax: 601-833-9495 |
Maranda Jordan Guess, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301c Highway 51 S, Brookhaven, MS 39601 Phone: 601-835-1062 |
Miss Brittany Griffin Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Highway 51 N Ste A, Brookhaven, MS 39601 Phone: 601-833-5333 |