| Lori Sanders Beisel, | |
|
502 Broad St, Columbia, MS 39429-3037 | |
| (601) 736-8282 | |
| (601) 579-5240 |
| Full Name | Lori Sanders Beisel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 502 Broad St, Columbia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235683665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 852035 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 901884 (Mississippi) | Primary |
| Entity Name | Hattiesburg Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | The Clinic At Farmers Medshoppe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487972568 PECOS PAC ID: 2466584982 Enrollment ID: O20100720000325 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Sanders Beisel, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 736-8282 | Lori Sanders Beisel, 502 Broad St, Columbia, MS 39429-3037 Ph: (601) 736-8282 |
Alicia Brister, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 | |
Mrs. Marquita Tucker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Highway 98 Byp, Columbia, MS 39429 Phone: 601-522-2095 | |
Lauren Hurst, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6303 | |
Brenda K Thornhill, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 912 Sumrall Rd, Columbia, MS 39429 Phone: 601-736-6443 Fax: 601-736-2543 | |
Ms. Ronda M. Vanderheiden, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1560 Sumrall Rd, Columbia, MS 39429 Phone: 601-261-2940 Fax: 601-261-2942 | |
Nancy F Easterling, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 914 Sumrall Rd, Columbia, MS 39429 Phone: 601-731-1470 Fax: 601-731-1474 | |
Shannon Haney Loftin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Broad St, Columbia, MS 39429 Phone: 601-736-8282 Fax: 601-736-8333 |