| Donna L Baucum, FNP | |
|
234 Magnolia Dr, Raleigh, MS 39153-6016 | |
| (601) 782-9797 | |
| (601) 782-9790 |
| Full Name | Donna L Baucum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 234 Magnolia Dr, Raleigh, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225129992 | NPI | - | NPPES |
| 04174306 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R544019 (Mississippi) | Primary |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | Jasper General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770660920 PECOS PAC ID: 1052487105 Enrollment ID: O20130115000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna L Baucum, FNP 234 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 782-9797 | Donna L Baucum, FNP 234 Magnolia Dr, Raleigh, MS 39153-6016 Ph: (601) 782-9797 |
Mrs. Pamela Denise Hardin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-5665 | |
Kimberly Sharelle Watkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 309 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-4244 | |
Mrs. Carol Darlene Richmond-stephens, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-782-9919 Fax: 601-825-8130 | |
Debra Mims Develin, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-374-8145 Fax: 601-374-8153 | |
Alexandra Winn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 White Oak Ave, Raleigh, MS 39153 Phone: 601-782-9919 | |
Teresa Raybourn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 |