| Mary Agnes Bennett, FNP | |
|
35 Magnolia Crossing Rd, Sumrall, MS 39482-7003 | |
| (160) 151-6026 | |
| Not Available |
| Full Name | Mary Agnes Bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 35 Magnolia Crossing Rd, Sumrall, 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 |
|---|---|---|---|
| 1962129361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 32850 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crossroads Urgent Care Pllc | 8325117484 | 181 |
| Ut Urgent Care Centers, Llc | 5597015065 | 24 |
| Entity Name | Crossroads Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
| Entity Name | UT Urgent Care Centers, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801391453 PECOS PAC ID: 5597015065 Enrollment ID: O20180904001336 |
| Entity Name | Associated Wound Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437835188 PECOS PAC ID: 4385006428 Enrollment ID: O20230822000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Agnes Bennett, FNP 35 Magnolia Crossing Rd, Sumrall, MS 39482-7003 Ph: (601) 516-0260 | Mary Agnes Bennett, FNP 35 Magnolia Crossing Rd, Sumrall, MS 39482-7003 Ph: (160) 151-6026 |
Sarah Alyssa Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4891 Highway 589, Sumrall, MS 39482 Phone: 601-516-9024 Fax: 601-516-9025 |
Lindsey Boswell, APRN FNP-BC, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 67 Parrish Rd, Sumrall, MS 39482 Phone: 601-410-3262 |
Sarah M Wainwright, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 |
Mrs. Jamie Elaine Thornton, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 |
Leslie Rollins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4881 Highway 589, Sumrall, MS 39482 Phone: 601-336-9099 Fax: 601-550-6184 |
Dylan Pittman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 |
Lauren M Walters, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1238 Highway 42, Sumrall, MS 39482 Phone: 601-758-3100 Fax: 601-758-3060 |