| Kristen Degelman, | |
|
969 Lakeland Dr, Jackson, MS 39216-4606 | |
| (601) 200-3631 | |
| Not Available |
| Full Name | Kristen Degelman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 969 Lakeland Dr, Jackson, 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 |
|---|---|---|---|
| 1437694320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901888 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Merit Health River Oaks | Flowood, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Oaks Management Company Llc | 0345233110 | 38 |
| Relias Emergency Medicine Specialists Of St Dominic Llc | 2466840152 | 17 |
| St. Dominic Jackson Memorial | 4385531847 | 48 |
| Entity Name | St. Dominic Jackson Memorial |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235173691 PECOS PAC ID: 4385531847 Enrollment ID: O20040301000818 |
| Entity Name | River Oaks Management Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922029040 PECOS PAC ID: 0345233110 Enrollment ID: O20040407000093 |
| Entity Name | Seshadri Raju, M.d., Pa. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174556377 PECOS PAC ID: 3971674896 Enrollment ID: O20080620000344 |
| Entity Name | Relias Emergency Medicine Specialists Of St Dominic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235808122 PECOS PAC ID: 2466840152 Enrollment ID: O20211029000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Degelman, 1031 N Flowood Dr, Flowood, MS 39232-9533 Ph: (601) 203-6202 | Kristen Degelman, 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-3631 |
Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657 | |
Mrs. Christian R Fortenberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 Fax: 601-200-4580 | |
Susan B Patterson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541 | |
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586 | |
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302 | |
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045 | |
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503 |