| Deidra Thompson, FNP | |
|
3794 Highway 468 W, Pearl, MS 39208-9008 | |
| (601) 932-2880 | |
| Not Available |
| Full Name | Deidra Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3794 Highway 468 W, Pearl, 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 |
|---|---|---|---|
| 1033585286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R886810 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R886810 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitality Consultants Llc | 2567942899 | 3 |
| Vitality Consultants Llc | 2567942899 | 3 |
| Vitality Consultants Llc | 2567942899 | 3 |
| Forefront Telecare Inc | 9638319114 | 30 |
| Mdb Behavioral Health Services Llc | 0749572915 | 192 |
| Forefront Telecare Inc | 9638319114 | 30 |
| Entity Name | Community Health And Dental Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295994341 PECOS PAC ID: 5395804827 Enrollment ID: O20081112000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Deidra Thompson, FNP 1783 Jones Loop, Terry, MS 39170-9013 Ph: (601) 613-5217 | Deidra Thompson, FNP 3794 Highway 468 W, Pearl, MS 39208-9008 Ph: (601) 932-2880 |
Mr. Edward Scott Callihan, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Gilchrist Dr, Pearl, MS 39208 Phone: 601-939-0700 | |
Deisha Muirhead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3823 Highway 80 E Ste 200, Pearl, MS 39208 Phone: 769-223-3261 | |
Meredith Selman Sheffield, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-531-8020 | |
Tiffany Jackson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Riverwind Dr Ste B-1, Pearl, MS 39208 Phone: 601-623-9245 Fax: 601-623-9246 | |
Jade Alexandra Roberts, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2507a Old Brandon Rd, Pearl, MS 39208 Phone: 601-345-2124 | |
Mrs. Kimberly Renee Blumenberg, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3794 Highway 468 W, Pearl, MS 39208 Phone: 601-932-2880 |