| Melia Fortenberry, NP | |
|
1314 19th Ave, Meridian, MS 39301-4116 | |
| (601) 703-9590 | |
| Not Available |
| Full Name | Melia Fortenberry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 1314 19th Ave, Meridian, 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 |
|---|---|---|---|
| 1376391268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 906647 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of Carthage | Carthage, MS | Home health agency |
| Centerwell Home Health | Meridian, MS | Home health agency |
| Ochsner Rush Hospital | Meridian, MS | Hospital |
| Ochsner Watkins Hospital | Quitman, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Medical Consultants Llc | 9830496314 | 19 |
| Medical Foundation Inc | 9234043712 | 211 |
| Entity Name | Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
| Entity Name | Southern Medical Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Melia Fortenberry, NP 3334 Highway 496, Meridian, MS 39301-7120 Ph: (601) 479-4766 | Melia Fortenberry, NP 1314 19th Ave, Meridian, MS 39301-4116 Ph: (601) 703-9590 |
Amanda Danielle Simpson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-484-6700 |
Miss Mattie P Hopson, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 |
Jennifer Lynn Webb, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 329 Jeffery Acres Rd, Meridian, MS 39301 Phone: 601-527-6584 |
Gail Beard, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2124 14th St, Meridian, MS 39301 Phone: 601-553-6000 |
Mrs. Celeste M Watson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3315 N Hills St Apt 607, #607, Meridian, MS 39305 Phone: 601-282-5429 |
Mrs. Karen Faye Deese, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1523 22nd Ave Ste B, Meridian, MS 39301 Phone: 601-703-8450 Fax: 601-553-6308 |
Jada Clair Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5002 Highway 39 N, Meridian, MS 39301 Phone: 601-385-9111 |