| Madison Bennett Stuckey, | |
|
1240 Fairground Rd, Grenada, MS 38901-4516 | |
| (601) 624-1866 | |
| (601) 364-2670 |
| Full Name | Madison Bennett Stuckey |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1240 Fairground Rd, Grenada, 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 |
|---|---|---|---|
| 1801664222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 906398 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ms State Department Of Health | 0244129245 | 20 |
| Entity Name | Ms State Dept Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Bennett Stuckey, 3156 Lawson St, Jackson, MS 39213-5754 Ph: (601) 624-1866 | Madison Bennett Stuckey, 1240 Fairground Rd, Grenada, MS 38901-4516 Ph: (601) 624-1866 |
Mrs. Agnes Pamela Upchurch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Sunset Dr, Ste B, Grenada, MS 38901 Phone: 662-229-0669 Fax: 662-227-9929 | |
Anna Cooper, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Van Dorn St Ste A, Grenada, MS 38901 Phone: 662-226-0325 | |
Mrs. Ashley Nicole Woods, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 Broadfield Dr, Grenada, MS 38901 Phone: 662-809-2419 | |
Julie Muselwhite Duke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23571 Highway 8 E, Grenada, MS 38901 Phone: 662-574-8101 | |
Latia Monanette Butts, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Sunset Dr, Ste Q, Grenada, MS 38901 Phone: 662-294-9101 Fax: 662-294-9104 | |
Shonda Jacqueline Phelon, C.F.N.P.; P.M.H.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 Fax: 662-227-3740 | |
Alison Campbell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1117 Sunset Dr Ste 104, Grenada, MS 38901 Phone: 662-226-0110 |