| Dr Devinna Bahadur, DNP, MSN, AGACN-BC | |
|
2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 | |
| (601) 564-7070 | |
| (601) 636-6233 |
| Full Name | Dr Devinna Bahadur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2080 S Frontage Rd Ste 107, Vicksburg, 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 |
|---|---|---|---|
| 1235857236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902332 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arden Home Health Of West Ms, Llc | Ridgeland, MS | Home health agency |
| Panola Medical Center | Batesville, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wound Management Specialists Llc | 5193056364 | 157 |
| Wound Care Associates Llc | 0840314548 | 117 |
| Wound Care Associates Llc | 0840314548 | 117 |
| Healthcare Plus Limited Liability Company | 5698038610 | 120 |
| Entity Name | Wound Care Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
| Entity Name | Healthcare Plus Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063927465 PECOS PAC ID: 5698038610 Enrollment ID: O20180404001439 |
| Entity Name | Wound Management Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20191021000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Devinna Bahadur, DNP, MSN, AGACN-BC 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 Ph: (601) 564-7070 | Dr Devinna Bahadur, DNP, MSN, AGACN-BC 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 Ph: (601) 564-7070 |
Jenifer Justice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 014-562-5986 Fax: 855-830-3484 |
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 |
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 |
Tykerria Renee Henderson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3317 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-636-1173 |
Jennifer Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2080 S Frontage Rd, Vicksburg, MS 39180 Phone: 601-654-7070 |
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 |
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 |