| Ernestine Ivy, NP | |
|
900 Stark Rd, Starkville, MS 39759-3613 | |
| (662) 323-4400 | |
| Not Available |
| Full Name | Ernestine Ivy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 900 Stark Rd, Starkville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992273072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902734 (Mississippi) | Primary |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Mailing Address | Practice Location Address |
|---|---|
| Ernestine Ivy, NP 396 Billy Coleman Rd, West Point, MS 39773-7134 Ph: (662) 295-0151 | Ernestine Ivy, NP 900 Stark Rd, Starkville, MS 39759-3613 Ph: (662) 323-4400 |
Mrs. Maggie Martin Fair, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Wilburn Way, Starkville, MS 39759 Phone: 662-323-9908 Fax: 662-323-8948 | |
Mrs. Anna Cooper, WHNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Park Dr, Starkville, MS 39759 Phone: 662-323-4427 | |
Mrs. Rachel Romero Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1207 Highway 182 W, Starkville, MS 39759 Phone: 662-320-7800 | |
Mrs. Mamie M Kosko, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Wilburn Way, Starkville, MS 39759 Phone: 662-320-4008 Fax: 662-320-2450 | |
Mrs. Laura J Hare, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Russell St, Suite 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295 | |
Meredith Patton Hartline, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Russell St Ste 3, Starkville, MS 39759 Phone: 662-324-2244 Fax: 662-324-2295 | |
Rosaland Ann Henderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Brandon Rd, Starkville, MS 39759 Phone: 662-324-1291 |