| Lesa Colleen Whitehead, NP-C | |
|
434 N Captain Gloster Dr, Gloster, MS 39638-3401 | |
| (601) 225-4711 | |
| (601) 225-7861 |
| Full Name | Lesa Colleen Whitehead |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 434 N Captain Gloster Dr, Gloster, 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 |
|---|---|---|---|
| 1750653382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R853722 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roosevelt Medical Center | Culbertson, MT | Hospital |
| Sidney Health Center | Sidney, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Culbertson Froid Bainville Healthcare Corporation | 3173425436 | 6 |
| Entity Name | Culbertson Froid Bainville Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598874232 PECOS PAC ID: 3173425436 Enrollment ID: O20040126000761 |
| Entity Name | County Of Garfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427508365 PECOS PAC ID: 8325178551 Enrollment ID: O20120222000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Lesa Colleen Whitehead, NP-C Po Box 639, Centreville, MS 39631-0639 Ph: (601) 645-5221 | Lesa Colleen Whitehead, NP-C 434 N Captain Gloster Dr, Gloster, MS 39638-3401 Ph: (601) 225-4711 |
Kristen Womack, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-4144 | |
Mrs. Simmons T Copeland, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 North Captain Drive, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-7861 | |
Ashley Dillon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 434 N Captain Gloster Dr, Gloster, MS 39638 Phone: 601-225-4711 Fax: 601-225-4144 |