| Brook Leann Ponder, NP | |
|
1612 E County Line Rd, Ridgeland, MS 39157-1906 | |
| (931) 253-1110 | |
| Not Available |
| Full Name | Brook Leann Ponder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1612 E County Line Rd, Ridgeland, 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 |
|---|---|---|---|
| 1578346755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906153 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
| Magee General Hospital | Magee, MS | Hospital |
| Simpson General Hospital Cah | Mendenhall, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fast Pace Mississippi Pllc | 3678832029 | 170 |
| Geriatric Connections, Llc | 8729309257 | 2 |
| 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 |
| Entity Name | Geriatric Connections, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992183800 PECOS PAC ID: 8729309257 Enrollment ID: O20240815004217 |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Leann Ponder, NP 1612 E County Line Rd, Ridgeland, MS 39157-1906 Ph: (931) 253-1110 | Brook Leann Ponder, NP 1612 E County Line Rd, Ridgeland, MS 39157-1906 Ph: (931) 253-1110 |
Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Thomas Howington, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 786 Lake Harbour Dr, Ridgeland, MS 39157 Phone: 601-499-0022 | |
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 | |
Dr. Amanda B Greene, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157 Phone: 601-499-0282 Fax: 601-499-0347 | |
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Ms. Barbara Ann Bradley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Highway 51 Ste T, Ridgeland, MS 39157 Phone: 601-790-7711 Fax: 601-790-7712 |