| Mary Sue Watkins, CFNP | |
|
1014 Rose St, Prentiss, MS 39474-5271 | |
| (601) 792-2071 | |
| (601) 792-8134 |
| Full Name | Mary Sue Watkins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1014 Rose St, Prentiss, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245323914 | NPI | - | NPPES |
| 00117238 | Medicaid | MS | |
| P00445055 | Other | MS | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R733881 (Mississippi) | Secondary |
| 363L00000X | Nurse Practitioner | R733881 (Mississippi) | Primary |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598769044 PECOS PAC ID: 4183517253 Enrollment ID: O20080722000557 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336447861 PECOS PAC ID: 4183517253 Enrollment ID: O20110519000619 |
| Entity Name | St Michael Urgent Care Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396015087 PECOS PAC ID: 1153583091 Enrollment ID: O20120510000221 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306460282 PECOS PAC ID: 4183517253 Enrollment ID: O20201103000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Sue Watkins, CFNP 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 796-7030 | Mary Sue Watkins, CFNP 1014 Rose St, Prentiss, MS 39474-5271 Ph: (601) 792-2071 |
Rhonda Cox, MSN, FNP-C/AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Prentiss, MS 39474 Phone: 601-792-2071 Fax: 601-792-8134 | |
Shadonna Johnson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 | |
Mrs. Michele Bryant Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St, Suite A, Prentiss, MS 39474 Phone: 601-792-2200 Fax: 601-792-2345 | |
Diane Morris, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 Fax: 601-792-8211 | |
Angela Marice Perkins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 Second St, Prentiss, MS 39474 Phone: 601-792-2078 | |
Katie Daley Rush, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Rose St., Ste. A, Prentiss, MS 39474 Phone: 601-792-1223 Fax: 601-651-6076 |