| Lawanda Glass, PMHNP | |
|
714 3rd St, Cleveland, MS 38732 | |
| (662) 846-2620 | |
| (662) 846-2660 |
| Full Name | Lawanda Glass |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 714 3rd St, Cleveland, 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 |
|---|---|---|---|
| 1740791722 | NPI | - | NPPES |
| 330000014 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 902444 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Case Management Inc | 5991807570 | 7 |
| Truhealth Llc | 2163653478 | 43 |
| Truhealth Llc | 2163653478 | 43 |
| Entity Name | Case Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326116476 PECOS PAC ID: 5991807570 Enrollment ID: O20070228000467 |
| Entity Name | Truhealth LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063843951 PECOS PAC ID: 2163653478 Enrollment ID: O20140331001471 |
| Entity Name | Crestwyn Health Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417458944 PECOS PAC ID: 5799084984 Enrollment ID: O20200116001853 |
| Entity Name | Behavioral Healthcare Center at Memphis, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235516097 PECOS PAC ID: 4385945286 Enrollment ID: O20210111002904 |
| Entity Name | Behavioral Healthcare Center at Clarksville, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346570777 PECOS PAC ID: 6305972639 Enrollment ID: O20210112001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawanda Glass, PMHNP Po Box 1505, Greenwood, MS 38935-1505 Ph: (662) 453-6211 | Lawanda Glass, PMHNP 714 3rd St, Cleveland, MS 38732 Ph: (662) 846-2620 |
Emma Hardy Crowe, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 803 1st St, Cleveland, MS 38732 Phone: 662-843-2721 |
Ms. Bonita Clair Cross, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 East Sunflower Road, Cleveland, MS 38732 Phone: 662-846-0061 |
Clare Adams Moore, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 E Sunflower Rd, Cleveland, MS 38732 Phone: 662-579-0136 |
Shauna Danielle Allen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 1st St, Cleveland, MS 38732 Phone: 888-355-6077 Fax: 888-355-6077 |
Angela D Parish, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 810 E Sunflower Rd, Ste 100e, Cleveland, MS 38732 Phone: 662-846-6034 Fax: 662-846-6260 |
Cassandra Latasha Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 North St, Cleveland, MS 38732 Phone: 662-545-4674 Fax: 662-545-4715 |
Angela M Corbin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 S Pearman Ave, Cleveland, MS 38732 Phone: 662-368-6291 Fax: 662-368-6324 |