| Lasteffia J Todd, FNP | |
|
210 Hospital Cir, Choctaw, MS 39350-6781 | |
| (601) 656-2211 | |
| Not Available |
| Full Name | Lasteffia J Todd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 210 Hospital Cir, Choctaw, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255414280 | NPI | - | NPPES |
| 04007266 | Medicaid | MS | |
| 00114872 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R593656 (Mississippi) | Primary |
| Entity Name | Mississippi Band Of Choctaw Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790865780 PECOS PAC ID: 4385546662 Enrollment ID: O20040126000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Lasteffia J Todd, FNP 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 | Lasteffia J Todd, FNP 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 |
Linda Murray, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 | |
Mrs. Karen Louise Miller, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4315 | |
Mr. Alvin T Ricks Jr., APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-656-2211 Fax: 601-389-6391 | |
Ms. Shannon Victoria Johnson, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4420 | |
Lucky Ehimuohu Areghan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Choctaw Health Center, 210 Hospital Circle, Choctaw, MS 39350 Phone: 601-389-4463 Fax: 601-389-4462 | |
Mrs. Adrienne Sisson Fulton, CPNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 210 Hospital Cir, Choctaw, MS 39350 Phone: 601-389-4500 Fax: 601-389-4462 |