| Kelley Debar, RN | |
|
92 Ratliff St, Lucedale, MS 39452-6537 | |
| (601) 947-8181 | |
| (601) 947-4411 |
| Full Name | Kelley Debar |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 92 Ratliff St, Lucedale, 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 |
|---|---|---|---|
| 1942609664 | NPI | - | NPPES |
| R859003 | Other | MS | STATE LICENSURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R859003 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R859003 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| George Regional Health System | Lucedale, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| George County Hospital | 5294717013 | 4 |
| Entity Name | George County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023074028 PECOS PAC ID: 5294717013 Enrollment ID: O20040604000732 |
| Entity Name | Community Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194734913 PECOS PAC ID: 8921072588 Enrollment ID: O20040820000647 |
| Entity Name | Wiggins Primary Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740293257 PECOS PAC ID: 5890737019 Enrollment ID: O20050527000428 |
| Entity Name | Greene County Family Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689821126 PECOS PAC ID: 5991867954 Enrollment ID: O20090422000303 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Debar, RN Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 947-8181 | Kelley Debar, RN 92 Ratliff St, Lucedale, MS 39452-6537 Ph: (601) 947-8181 |
Lacey Elizabeth Carter, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 Summer St Ste D, Lucedale, MS 39452 Phone: 601-530-5317 | |
Ms. Deborah A Hyatt, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 | |
Jasmini Neena Bowen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Mill Street Ext Ste D, Lucedale, MS 39452 Phone: 601-791-5004 | |
Norman M Parnell, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 Winter St Ste D, Lucedale, MS 39452 Phone: 601-791-5012 Fax: 601-791-5013 | |
Tara Leann Tillman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 103 W Frontage Rd, Lucedale, MS 39452 Phone: 601-947-9596 | |
Ms. Rebecca Graves, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 W Ratliff St, Lucedale, MS 39452 Phone: 601-947-8181 Fax: 601-947-4411 | |
Felicia Mcneil, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Summer St Ste D, Lucedale, MS 39452 Phone: 601-530-5317 |