| Emily Dianne Feltman, FNP-C | |
| 
					8 Industrial Drive, Burnsville, MS 38833  | |
| (662) 593-7130 | |
| (662) 593-7131 | 
| Full Name | Emily Dianne Feltman | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 8 Industrial Drive, Burnsville, Mississippi | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144951153 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 905132 (Mississippi) | Primary | 
| Entity Name | Magnolia Express Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649721457 PECOS PAC ID: 4688951593 Enrollment ID: O20170502002226  | 
| Entity Name | Magnolia Primary Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437685278 PECOS PAC ID: 2163783622 Enrollment ID: O20180223001279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emily Dianne Feltman, FNP-C 32 County Road 55, Tishomingo, MS 38873-9108 Ph: (662) 279-0829  | Emily Dianne Feltman, FNP-C 8 Industrial Drive, Burnsville, MS 38833 Ph: (662) 593-7130  | 
Ms. Tami Bivins Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603b Hwy 365, Burnsville Medical Clinic, Burnsville, MS 38833 Phone: 662-427-9999 Fax: 662-427-9977  | |
Camille Whitehead, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 369 Highway 72, Burnsville, MS 38833 Phone: 662-427-4040 Fax: 662-427-4041  |