| Lakeitha Denise Hamberlin, FNP-BC | |
|
1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 | |
| (601) 456-2598 | |
| (601) 589-1821 |
| Full Name | Lakeitha Denise Hamberlin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1911 Mission 66 Ste B, 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 |
|---|---|---|---|
| 1396297453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901822 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mdb Behavioral Health Services Llc | 0749572915 | 201 |
| Jefferson Comprehensive Health Center, Inc. | 0345248100 | 10 |
| Entity Name | Minor Med Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407968738 PECOS PAC ID: 7618866021 Enrollment ID: O20040313000147 |
| Entity Name | Jefferson Comprehensive Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962517185 PECOS PAC ID: 0345248100 Enrollment ID: O20140416001171 |
| Entity Name | Mdb Behavioral Health Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669835310 PECOS PAC ID: 0749572915 Enrollment ID: O20160708000104 |
| Entity Name | Uppal Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558927905 PECOS PAC ID: 4587998547 Enrollment ID: O20190625001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeitha Denise Hamberlin, FNP-BC 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (601) 456-2598 | Lakeitha Denise Hamberlin, FNP-BC 1911 Mission 66 Ste B, Vicksburg, MS 39180-3762 Ph: (601) 456-2598 |
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 |