| Doris Plunkett Sanford, | |
|
224 Court Sq, Lexington, MS 39095-3638 | |
| (662) 834-1721 | |
| (662) 450-8088 |
| Full Name | Doris Plunkett Sanford |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 224 Court Sq, Lexington, 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 |
|---|---|---|---|
| 1649316233 | NPI | - | NPPES |
| 00117094 | Medicaid | MS | |
| 258908 | Other | RHC PROVIDER NUMBER | |
| R589101 | Other | MS | RN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R589101 (Mississippi) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | R589101 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sta Home Health And Hospice | Clinton, MS | Home health agency |
| Holmes County Hospital And Clinics | Lexington, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hometown Family Care, Llc | 4981030681 | 2 |
| Entity Name | Elias Abboud |
|---|---|
| Entity Type | Practitioner - Family Practice |
| Entity Identifiers | NPI Number: 1669485983 PECOS PAC ID: 2365435823 Enrollment ID: I20040412001162 |
| Entity Name | Hometown Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548800527 PECOS PAC ID: 4981030681 Enrollment ID: O20200128001700 |
| Mailing Address | Practice Location Address |
|---|---|
| Doris Plunkett Sanford, 22741 Highway 12, Lexington, MS 39095-3118 Ph: (662) 834-1721 | Doris Plunkett Sanford, 224 Court Sq, Lexington, MS 39095-3638 Ph: (662) 834-1721 |
Samimah Shetta Reese, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 689, Lexington, MS 39095 Phone: 601-334-4479 | |
Jocelyn Patrice Seawood, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17280 Ms-17, Lexington, MS 39095 Phone: 662-834-1857 | |
Mrs. Jolynn M White, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Bowling Green Rd, Lexington, MS 39095 Phone: 662-834-1321 Fax: 662-834-2111 | |
Kathryn Conner Carroll, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17280 Highway 17, Lexington, MS 39095 Phone: 662-834-1857 | |
Mr. Mickey Aldridge, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 Bowling Green Rd, Lexington, MS 39095 Phone: 662-834-1321 Fax: 662-834-5240 | |
Sarah Spencer Walker, BC-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 Tchula St, Lexington, MS 39095 Phone: 662-834-1855 Fax: 662-834-4953 | |
Cynthia Ann Cross, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Mallory Community Health Center, Lexington, MS 39095 Phone: 662-834-1857 |