| Devetta Harris, | |
|
122 E Academy St, Canton, MS 39046-4502 | |
| (601) 859-8998 | |
| Not Available |
| Full Name | Devetta Harris |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 122 E Academy St, Canton, 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 |
|---|---|---|---|
| 1235975152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906772 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minor Med Care, Llc | 7618866021 | 77 |
| Uppal Medical Center Llc | 4587998547 | 129 |
| 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 | 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 |
| Entity Name | Heal All Wound Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093554982 PECOS PAC ID: 8123561966 Enrollment ID: O20240620002989 |
| Mailing Address | Practice Location Address |
|---|---|
| Devetta Harris, 122 E Academy St, Canton, MS 39046-4502 Ph: (601) 859-8998 | Devetta Harris, 122 E Academy St, Canton, MS 39046-4502 Ph: (601) 859-8998 |
Latoya Sojourney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 |
Okshoon Scott, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 Fax: 601-859-9966 |
Ms. Kiara Diontea Merchant, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1171 Hart St, Canton, MS 39046 Phone: 601-859-9888 |
Mrs. Rebecca Truelove Moore, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 156 River Oaks Dr, Suite A, Canton, MS 39046 Phone: 601-855-5287 |
Angela Jones-stewart, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 Fax: 601-859-8771 |
Jessica Nicole Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 |
Shamekka Nicolette Skinner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1668 W Peace St, Canton, MS 39046 Phone: 601-859-5213 |